Day 0 | Young female with chest pain, acute coronary syndrome symptoms, postpartum Day 14, lab markers concerning for ischaemia, echo showing reduced left ventricular function |
Day 1 | Cardiac catheterization confirming dissection of three coronary vessels. Started on aspirin and heparin drip |
Day 3 | Loaded with clopidogrel after decision made to manage conservatively as patient refused coronary artery bypass graft |
Day 5 | Found to have fibromuscular dysplasia on screening computed tomography of chest, head, abdomen, and pelvis |
Day 7 | Discharged home on aspirin and clopidogrel for 12 months and subsequently aspirin only |
6 months | Doing well with no recurrence |