Spontaneous Coronary Artery Dissection Postpartum and Recurrence during Menopause: Hormonal Involvement in Acute Coronary Syndromes

In this case report, we present a of 38-year-old woman with no cardiac history and risk factors who was admitted to the hospital spontaneous coronary artery dissection (SCAD) after pregnancy. Twelve years later, she suffered recurrent SCAD during her menopause. is rare occurrence acute syndromes recurrence even more rare. seems occur predominantly in females be related hormone levels. At first presentation, patient 38 old 4 weeks postpartum. She presented chest pain. Electrocardiogram (ECG) showed loss r-amplitude but ST-segment deviation. Troponins were elevated significant rise fall. treated dual anti-platelet strategy underwent angiography (CAG) which type 1 distal circumflex artery. The lesion conservatively. Second presentation 12 again pain time ECG marginal changes troponins elevated. CAG new (Type 2 B) second obtuse healed. Renal preformed an renal bead pattern typical for fibromuscular dysplasia. Again, This report suffering from different artery, both events probably hormonal changes, that is, postpartum may emphasize careful examination menopause patients earlier SCAD.