Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Emergency Medicine


Bernard Toney Jr., DMSc


Spontaneous coronary artery dissection during pregnancy and the peripartum period (PSCAD) though a rare event, accounts for approximately 40% of pregnancy associated acute coronary syndromes (ACS).

It is imperative that these patients be identified correctly and emergently treated for this condition. Failure to correctly identify this disease process can be disastrous to the fetus and the mother. The practitioner needs to keep the differential diagnosis of spontaneous coronary artery dissection foremost in their mind while evaluating the pregnant patient with chest pain. A good understanding of this disease process, its rapid evaluation, and early collaboration with cardiology and obstetrics as described in this paper will improve both maternal and fetal outcome.


Available when accessing via a campus IP address or logged in with a University of Lynchburg email address.

Off-campus users can also use 'Off-campus Download' button above for access.