Acute Myocardial Infarction in Pregnancy

Author:

Kim Jitae A.1,Kim Sophie Y.2,Virk Hafeez Ul Hassan3,Alam Mahboob4,Sharma Samin5,Johnson Mark R.6,Krittanawong Chayakrit7

Affiliation:

1. From the Department of Cardiology, University of Buffalo, New York, NY

2. Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center, El Paso, TX

3. Harrington Heart & Vascular Institute, Case Western Reserve University, University Hospitals Cleveland Medical Center, Cleveland, OH

4. Division of Cardiology, The Texas Heart Institute, Baylor College of Medicine, Houston, TX

5. Cardiac Catheterization Laboratory of the Cardiovascular Institute, Mount Sinai Hospital, New York, NY

6. Academic Department of Obstetrics and Gynaecology, Institute of Reproductive and Developmental Biology, Chelsea and Westminster Hospital, Imperial College London, London, UK; and

7. Cardiology Division, NYU Langone Health and NYU School of Medicine, New York, NY.

Abstract

Pregnancy-associated myocardial infarction is an overall uncommon event, but can be associated with significant maternal and fetal morbidity and mortality. In contrast to myocardial infarction in the general nonpregnant population, the mechanism of pregnancy-associated myocardial infarction is most commonly due to nonatherosclerotic mechanisms such as coronary dissection, vasospasm, or thromboembolism. The diagnosis of pregnancy-associated myocardial infarction can be challenging, requiring a high index of suspicion for prompt recognition and management. Furthermore, the management of pregnancy-associated myocardial infarction can be complex due to maternal and fetal considerations and may vary based on the specific underlying mechanism of the myocardial infarction. This review aims to review the recent literature on pregnancy-associated myocardial infarction and summarize the epidemiology, mechanisms, diagnosis, and treatment strategies for this uncommon entity.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference56 articles.

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4. Acute myocardial infarction in pregnancy: a United States population-based study.;James;Circulation,2006

5. Acute myocardial infarction in pregnancy and the puerperium: a population-based study.;Ladner;Obstet Gynecol,2005

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