<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5633</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cardiología]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. Colomb. Cardiol.]]></abbrev-journal-title>
<issn>0120-5633</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Colombiana de Cardiologia. Oficina de Publicaciones]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-56332020000300180</article-id>
<article-id pub-id-type="doi">10.1016/j.rccar.2019.03.004</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Disección espontánea de arterias coronarias en una mujer embarazada]]></article-title>
<article-title xml:lang="en"><![CDATA[Spontaneous coronary artery dissection in a pregnant woman]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Zabala]]></surname>
<given-names><![CDATA[Leidy Tamayo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Muñoz]]></surname>
<given-names><![CDATA[Catalina Gallego]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Andrade]]></surname>
<given-names><![CDATA[Luis Alfonso Fajardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Giraldo]]></surname>
<given-names><![CDATA[Clara Inés Saldarriaga]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Pontificia Bolivariana Medicina Interna ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica CardioVID  ]]></institution>
<addr-line><![CDATA[Medellín ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>06</month>
<year>2020</year>
</pub-date>
<volume>27</volume>
<numero>3</numero>
<fpage>180</fpage>
<lpage>185</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-56332020000300180&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-56332020000300180&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-56332020000300180&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen La disección espontánea de las arterias coronarias representa entre 0,2 al 4% de las causas de síndrome coronario agudo, y es más común en mujeres jóvenes, especialmente en estado de embarazo, en cuyo caso el riesgo es tres a cuatro veces mayor. Usualmente, afecta la arteria coronaria izquierda pero también puede haber compromiso de múltiples vasos. Los pacientes que la presentan no tienen los factores de riesgo clásicos descritos de la enfermedad coronaria, como diabetes mellitus, hipertensión o dislipidemia. En las gestantes se puede presentar en cualquier trimestre del embarazo y hasta varios meses después del parto, pero es más común en el último trimestre del embarazo y en las primeras seis semanas posparto. El diagnóstico de disección de arteria coronaria es difícil; el estándar de oro es la coronariografía con ecografía intravascular o la tomografía de coherencia óptica; esta última no se encuentra ampliamente disponible. Además, existe controversia en cuanto a la decisión de manejo médico o manejo invasivo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract Spontaneous coronary artery dissection accounts for between 0.2% and 4% of the causes of acute coronary syndrome. It is more common in young women, particularly during pregnancy, when the risk is three to four times higher. It usually involves the left coronary, but it can also compromise several vessels. The patients that present with one do not have the classic risk factors described for coronary disease, such as diabetes mellitus, hypertension, or dyslipidaemia. Although it can present in any trimester of the pregnancy, and up to several months after delivery, it is more common in the last trimester of pregnancy, and in the first six months post-partum. The diagnosis of coronary artery dissection is difficult. Although the reference method is coronary angiography with intravascular ultrasound or optical coherence computed tomography, these are not widely available, as well as there being controversy as regards the decision of medical management or invasive management.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Disección de las arterias coronarias]]></kwd>
<kwd lng="es"><![CDATA[Embarazo]]></kwd>
<kwd lng="es"><![CDATA[Síndrome coronario agudo]]></kwd>
<kwd lng="en"><![CDATA[Coronary artery dissection]]></kwd>
<kwd lng="en"><![CDATA[Pregnancy]]></kwd>
<kwd lng="en"><![CDATA[Acute coronary syndrome]]></kwd>
</kwd-group>
</article-meta>
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