Acute Myocardial Infarction Associated with Pregnancy

Roth, Arie; Elkayam, Uri

doi:10.7326/0003-4819-125-9-199611010-00009

Cited by 342 publications

(328 citation statements)

References 157 publications

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“…in the peri-partum period [7], other studies show peri-partum status present in only 18% -26% of cases [2] The lack of reliable risk factors makes diagnosis of SCAD elusive, and this case highlights the difficulty of making the diagnosis in a patient with significant confounding factors. Clinicians should consider the diagnosis of SCAD in patients with presentations similar to Acute Coronary Syndrome, especially young women with history of fibromuscular dysplasia, known as connective tissue disorder or peri-partum status.…”

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confidence: 85%

An Unusual Presentation of Cardiogenic Shock in the Emergency Department

Dicker¹,

McCollum²

2017

OJEM

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A 51-year old female with a history of multiple sclerosis presented to the emergency department with hypotension and fatigue. She was found to be in cardiogenic shock. Her initial EKG was concerning for STEMI and her troponin was positive. She was eventually diagnosed with spontaneous coronary artery dissection. This case report discusses her presentation, management, and clinical course. We emphasize the need for emergency medicine physicians to be concerned for SCAD, especially in women with a history of fibromuscular dysplasia, connective tissue disorders, or peri-partum status.

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confidence: 85%

An Unusual Presentation of Cardiogenic Shock in the Emergency Department

Dicker¹,

McCollum²

2017

OJEM

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“…Wie kürzlich publiziert ist die müt terliche Sterblichkeit bei Myokardinfark ten am höchsten in der Peripartalperiode und wird mit 5-11% angegeben. Im Ver gleich zu früheren Berichten scheint die Mortalität im Verlauf der letzten Dekade auch durch den Einsatz interventioneller Therapiestrategien zurückgegangen zu sein [10,12,14,15].…”

Section: Hämodynamische Und Hämostaseologische Veränderungen In Der Sunclassified

Kardiopulmonale Notfälle in Schwangerschaft und Postpartalperiode

Rosenberg

Frey

2012

Med Klin Intensivmed Notfmed

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The number of patients who develop cardiac problems during pregnancy are increasing and represent to date the major cause of maternal death in western countries. Pregnancy induces several changes which together increase the hemodynamic burden on the cardiovascular system and can also cause a prothrombotic state. Hence, latent or apparent cardiac disease can acutely decompensate during pregnancy. From a cardiovascular perspective, pregnancies are most often complicated by acute coronary syndromes, peripartum cardiomyopathy, arrhythmias, or pulmonary embolism. Due to potential fetal harm conventional diagnostic and therapeutic approaches are limited by the restricted use of radiogenic cardiac imaging and applicable medications. Therefore, knowledge about available therapeutic options is of greatest importance, since guideline recommendations have clearly been demonstrated to reduce morbidity and mortality in acute cardiac emergencies during pregnancy.

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“…Akute Myokardinfarkte gehören mit einer Inzidenz von 1:10.000 Schwangerschaften [17] zu den seltenen Schwangerschaftskomplikationen. Sie treten am häu-figsten peripartal auf.…”

Section: Akuter Myokardinfarktunclassified

“…Sie treten am häu-figsten peripartal auf. Betroffen sind bevorzugt ältere Multipara mit einer arteriellen Hypertonie, einer Präeklampsie oder einem Diabetes mellitus [11,17]. Eine ko- ronare Herzerkrankung liegt nur in 20% der Fälle vor [12].…”

Section: Akuter Myokardinfarktunclassified

Management kardiovaskulärer Erkrankungen während der Schwangerschaft

et al. 2008

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Heart disease is present in 0.5-1% of all pregnancies. It is the leading non-obstetric cause of maternal mortality accounting for about 10-15% of all maternal death. Over the last decades the underlying cardiac disease has changed. Also new therapeutic options have been developed. In western industrial countries the incidence of acquired rheumatic heart disease has declined. In contrast, as a result of neonatal corrective or palliative surgery, congenital heart disease has become an increasing and challenging problem. Maternal older age and the increase in women's smoking habits amplify the likelihood of coronary artery disease. Multiple therapeutic options including percutaneous interventions are available and novel therapeutic concepts are emerging i.e. for peripartum cardiomyopathy. Management of pregnancy, labor and delivery requires accurate diagnosis of the underlying cardiac disorder. Hemodynamic changes physiologically occurring during pregnancy have a different impact depending on the type and severity of cardiac anomalies. Management of these patients requires teamwork of obstetricians, neonatologists, cardiologists, anesthetists and sometimes cardiac surgeons.

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Acute Myocardial Infarction Associated with Pregnancy

Cited by 342 publications

References 157 publications

An Unusual Presentation of Cardiogenic Shock in the Emergency Department

An Unusual Presentation of Cardiogenic Shock in the Emergency Department

Kardiopulmonale Notfälle in Schwangerschaft und Postpartalperiode

Management kardiovaskulärer Erkrankungen während der Schwangerschaft

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