103. Case Report: A Rare Cause of Postpartum Angina and Arrest – University of Maryland

CardioNerds(Amit Goyal&Daniel Ambinder) join University of Maryland cardiology fellows (Manu Mysore, Adam Zviman, and Scott Butler) for some cardiology and an Orioles game in Baltimore! They discuss a rare cause of postpartum angina and cardiac arrest due to coronary vasculitis. Program director Dr. Mukta Srivastava provides the E-CPR expert segment and a message for applicants. Episode notes were developed by Johns Hopkins internal medicine resident Rick Ferraro with mentorship from University of Maryland cardiology fellow Karan Desai.

This case has been published in JACC Case Reports!

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Episode graphic by Dr. Carine Hamo

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Patient Summary

Awoman in her early 30swith a past medical history of Hashimoto’s thyroiditis and one prior miscarriage at<8 weekspresented with chest pain about 6 weeks postpartum from the birth of her third child. In the ED, she continued to report intermittent sharp chest discomfort and found to have a diastolic decrescendo murmur at the left upper stern…