Diffi culties in diff erential diagnosis of the etiology of STEMI in the early postpartum period

Abstract

Objective. A clinical case of a 38-year-old female patient with STEMI in the early postpartum period describes the complex issues of diff erential diagnosis with imaging methods application. Results. During the patient’s fi rst hospitalization with STEMI, additional intravascular imaging techniques such as intracoronary ultrasound and/or optical coherence tomography, could help to determine the nature and signifi cance of the coronary lesion. Due to the inability to perform IVUS and OCT, we performed a coronary angiography. According to the results, there were no obvious signs of coronary dissection. Using additional intravascular imaging techniques, we might have obtained diff erent results and would have chosen a diff erent tactic of treatment.Conclusion. The case described indicates the need for a comprehensive diagnosis of MI in women in the postpartum period.