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An urgent cardiac catheterisation was performed, which revealed dissection and occlusion of the left anterior descending artery, and a drug-eluting stent was placed that resulted in the resolution of chest pain. Physiological changes during the postpartum period may be linked to an increased risk of developing SCAD.<jats:sup>1<\/jats:sup> In addition, e-cigarette smoking is associated with increased oxidative stress and sympathetic activity, which may predispose patients to an increased risk of acute coronary syndrome.<\/jats:p>","DOI":"10.1136\/bcr-2018-225194","type":"journal-article","created":{"date-parts":[[2018,6,4]],"date-time":"2018-06-04T03:30:57Z","timestamp":1528083057000},"page":"bcr-2018-225194","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Spontaneous coronary artery dissection in a postpartum e-cigarette smoker"],"prefix":"10.1136","volume":"2018","author":[{"given":"Navid","family":"Ahmed","sequence":"first","affiliation":[{"name":"Department of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aleksandr","family":"Kalininskiy","sequence":"additional","affiliation":[{"name":"Department of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Himali","family":"Gandhi","sequence":"additional","affiliation":[{"name":"Department of Medicine, Albert Einstein College of Medicine, Bronx, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jooyoung Julia","family":"Shin","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Albert Einstein College of Medicine, Bronx, New York, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,6,4]]},"reference":[{"key":"2025082722425924000_2018.jun01_1.bcr-2018-225194.1","first-page":"994","article-title":"Spontaneous coronary artery dissection: case report and review of the literature","volume":"62","author":"Wonnacott","year":"2016","journal-title":"Can Fam Physician"},{"key":"2025082722425924000_2018.jun01_1.bcr-2018-225194.2","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1001\/jamacardio.2016.5303","article-title":"Increased cardiac sympathetic activity and oxidative stress in habitual electronic cigarette users: implications for cardiovascular risk","volume":"2","author":"Moheimani","year":"2017","journal-title":"JAMA Cardiol"},{"doi-asserted-by":"publisher","key":"2025082722425924000_2018.jun01_1.bcr-2018-225194.3","DOI":"10.1016\/j.jacc.2016.05.034"},{"key":"2025082722425924000_2018.jun01_1.bcr-2018-225194.4","first-page":"37","article-title":"Spontaneous coronary artery dissection\u2014a review","volume":"5","author":"Yip","year":"2015","journal-title":"Cardiovascular Diagnosis And Therapy [serial on the Internet]"},{"doi-asserted-by":"crossref","unstructured":"Adlam D , Alfonso F , Maas A , et al . 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Spontaneous multivessel coronary artery dissection associated with cannabis use [serial on the Internet]. 2013 (cited May 13, 2018).","key":"2025082722425924000_2018.jun01_1.bcr-2018-225194.8"},{"key":"2025082722425924000_2018.jun01_1.bcr-2018-225194.9","doi-asserted-by":"crossref","first-page":"801","DOI":"10.1111\/1556-4029.12722","article-title":"Spontaneous coronary artery dissection: case report and literature review","volume":"60","author":"D\u2019Ovidio","year":"2015","journal-title":"J Forensic Sci"},{"doi-asserted-by":"publisher","key":"2025082722425924000_2018.jun01_1.bcr-2018-225194.10","DOI":"10.1038\/89961"},{"key":"2025082722425924000_2018.jun01_1.bcr-2018-225194.11","first-page":"274","article-title":"Effects of smoking on\u00a0cardiovascular function: the role of nicotine and carbon monoxide","volume":"8","author":"Papathanasiou","year":"2014","journal-title":"Health Sci J [serial online]"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-225194","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T05:43:07Z","timestamp":1756359787000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-225194"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,4]]},"references-count":11,"alternative-id":["10.1136\/bcr-2018-225194"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-225194","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,6,4]]}}}