{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T09:13:12Z","timestamp":1776417192350,"version":"3.51.2"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Spontaneous coronary artery dissection (SCAD) is a rare, non-atherosclerotic cause of acute coronary syndrome (ACS) that mainly affects women, particularly during or after pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case summary<\/jats:title>\n                    <jats:p>A 38-year-old woman conceived via in vitro fertilization presented at 34 weeks\u2019 gestation with chest pain and rising troponin levels (191\u2005ng\/L \u2192 5500\u2005ng\/L; reference &amp;lt;52\u2005ng\/L). Initially patient was elected for medical management. Day later telemetry detected frequent non-sustained ventricular tachycardia, considered a high-risk feature for underlying SCAD. Coronary angiography demonstrated a Type II SCAD of the mid-LAD (\u224850% stenosis, TIMI III flow). She was managed conservatively with aspirin and labetalol. Hours later, she developed pre-eclampsia and underwent urgent caesarean section with complete symptom resolution. Two weeks postpartum, she re-presented with an inferior STEMI due to a Type II SCAD of the right PDA (TIMI II flow). Conservative management with temporary intra-aortic balloon pump support led to full recovery and preserved left-ventricular function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This biphasic case highlights SCAD\u2019s propensity for recurrence in the peripartum period and supports conservative management when coronary flow is maintained. Reference to the 2025 ESC Guidelines for Acute Coronary Syndromes underscores the role of individualized, multidisciplinary care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytag196","type":"journal-article","created":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T13:02:47Z","timestamp":1773234167000},"source":"Crossref","is-referenced-by-count":0,"title":["Case report of antepartum and postpartum spontaneous coronary artery dissection in a high-risk pregnancy"],"prefix":"10.1093","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5750-8081","authenticated-orcid":false,"given":"Andrii","family":"Labchuk","sequence":"first","affiliation":[{"name":"Division of Cardiology, Lutheran General Hospital, 1775 W Depster Street, Park Ridge, IL 60068 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Viktoriya","family":"Bikeyeva","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Lutheran General Hospital, 1775 W Dempster Street, Park Ridge, IL 60068 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8165-7339","authenticated-orcid":false,"given":"Giovanni","family":"Paolella","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Lutheran General Hospital, 1775 W Dempster Street, Park Ridge, IL 60068 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarzyna","family":"Mikrut","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Lutheran General Hospital, 1775 W Depster Street, Park Ridge, IL 60068 ,","place":["USA"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"2026041704175694900_ytag196-B1","doi-asserted-by":"crossref","first-page":"4462","DOI":"10.1093\/eurheartj\/ehaf193","article-title":"2025 ESC guidelines for the management of cardiovascular disease and pregnancy: developed by the task force on the management of cardiovascular disease and pregnancy of the European Society of Cardiology (ESC)","volume":"46","author":"De Backer","year":"2025","journal-title":"Eur Heart J"},{"key":"2026041704175694900_ytag196-B2","doi-asserted-by":"crossref","first-page":"1184","DOI":"10.1136\/heartjnl-2024-324732","article-title":"Contemporary diagnosis and management of spontaneous coronary artery dissection","volume":"111","author":"Yang","year":"2025","journal-title":"Heart"},{"key":"2026041704175694900_ytag196-B3","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.amjcard.2021.11.024","article-title":"Factors associated with revascularization in women with spontaneous coronary artery dissection and acute myocardial infarction","volume":"166","author":"Isogai","year":"2022","journal-title":"Am J Cardiol"},{"key":"2026041704175694900_ytag196-B4","doi-asserted-by":"crossref","first-page":"e523","DOI":"10.1161\/CIR.0000000000000564","article-title":"Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association","volume":"137","author":"Hayes","year":"2018","journal-title":"Circulation"},{"key":"2026041704175694900_ytag196-B5","doi-asserted-by":"crossref","first-page":"e21","DOI":"10.1016\/j.jacc.2021.09.006","article-title":"2021 ACC\/AHA\/SCAI guideline for coronary artery revascularization","volume":"79","author":"Lawton","year":"2022","journal-title":"J Am Coll Cardiol"},{"key":"2026041704175694900_ytag196-B6","doi-asserted-by":"crossref","first-page":"4224","DOI":"10.1093\/eurheartj\/ehab546","article-title":"Management of acute cardiovascular complications in pregnancy","volume":"42","author":"Egidy Assenza","year":"2021","journal-title":"Eur Heart J"}],"container-title":["European Heart Journal - 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