Spontaneous dissection of native coronary arteries

Peripartum women may be at increased risk on two accounts: changes in blood flow increasing shear stress, and progesterone driven vessel wall changes which may predispose to coronary dissection. 4 The suggestion of increased risk in this group was not seen in our series. [...]SCAD is a rare condition usually presenting as an acute coronary syndrome and should be considered in younger patients, especially those who develop chest pain in pregnancy or in the postpartum period.