Cardiovascular complications following medical termination of pregnancy: An updated review

Table 3 Patients with spontaneous coronary artery dissection following medical termination of pregnancy

No.	Age	C/F and EKG	Labs and imaging	Angiography	Management and prognosis	Ref.
1	36 yr	Chest pain 2 wk post abortion. ECG: STE in V2-V4, STD in inferior leads	Cardiac biomarkers: Normal. Echo: Normal	Angiography: Type C dissection in LAD	Management: PCI with stenting to LAD. Survived, no similar episodes at follow-up after 8 mo	[33]
2	41 yr	2 wk post still birth, became unresponsive, cardiac arrest post CPR, ROSC. ECG: STE in leads 2, 3, avF	Cardiac biomarkers: Normal. Echo: Decreased LV contractility, EF: 30%	Angiography: Type 2 SCAD involving distal RCA	Management: Medical management. Survived post cardiac arrest, anoxic brain injury	[34]
3	33 yr	Chest pain 10 d post abortion. EKG: STE in inferior leads	Cardiac biomarkers: Increased	Angiography: Dissection involving RCA	Management: PCI. Survived	[35]
4	N/A	2 cases had SCAD a/w stillbirth and miscarriage	N/A	N/A	N/A	[36]

C/F: Clinical features; EKG: Electrocardiogram; N/A: Not applicable; STE: Sinus tachycardia elevation; STD: Sinus tachycardia depression; CPR: Cardiopulmonary resuscitation; ROSC: Return of spontaneous circulation; SCAD: Spontaneous coronary artery dissection; LV: Left ventricle; EF: Ejection fraction; LAD: Left anterior descending artery; RCA: Right coronary artery; PCI: Percutaneous coronary intervention.