Pregnancy-related myocardial infarction.

Autor: Lameijer H; Department of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. h.lameijer@umcg.nl.; Department of Emergency Medicine, University of Groningen, UMCG Groningen, Groningen, The Netherlands. h.lameijer@umcg.nl., Lont MC; Department of Intensive Care, Medical centre Leeuwarden, Leeuwarden, The Netherlands., Buter H; Department of Intensive Care, Medical centre Leeuwarden, Leeuwarden, The Netherlands., van Boven AJ; Department of Cardiology and Cardiothoracic Surgery, Medical Centre Leeuwarden, Leeuwarden, The Netherlands., Boonstra PW; Department of Cardiology and Cardiothoracic Surgery, Medical Centre Leeuwarden, Leeuwarden, The Netherlands., Pieper PG; Department of Cardiology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Jazyk: angličtina
Zdroj: Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation [Neth Heart J] 2017 Jun; Vol. 25 (6), pp. 365-369.
DOI: 10.1007/s12471-017-0989-9
Abstrakt: Introduction: The risk of acute myocardial infarction in young women is low, but increases during pregnancy due to the physiological changes in pregnancy, including hypercoagulability. Ischaemic heart disease during pregnancy is not only associated with increased maternal morbidity and mortality, but also with high neonatal complications. Advancing maternal age and other risk factors for cardiovascular diseases may further increase the risk of ischaemic heart disease in young women.
Methods: We searched the coronary angiography database of a Dutch teaching hospital to identify women with acute myocardial infarction who presented during pregnancy or postpartum between 2011 and 2013.
Results: We found two cases. Both women were in their early thirties and both suffered from myocardial infarction in the postpartum period. Acute myocardial infarction was due to coronary stenotic occlusion in one patient and due to coronary artery dissection in the other patient. Coronary artery dissection is a relatively frequent cause of myocardial infarction during pregnancy. Both women were treated by percutaneous coronary intervention and survived.
Conclusion: Physicians should be aware of the increased risk of myocardial infarction when encountering pregnant or postpartum women presenting with chest pain.
Databáze: MEDLINE
Externí odkaz: