Acute Myocardial Infarction during Pregnancy

Abstract

We report a 30-year-old woman who developed an acute myocardial infarction at 24 weeks of gestation. She did not undergo any kind of acute intervention. On the 8th hospital day, premature delivery was performed safely following premature rupture of membrane. Coronary angiogram was normal and no spasm was induced by provocative test with ergometrine maleate. The patient had abnormal values of fibrinogen, thrombin-antithrombin III complex and plasmin-α₂-plasmin inhibitor complex. Thus, thrombus formation might have been associated with the onset of acute myocardial infarction. This is the first case of acute myocardial infarction during pregnancy, showing normal coronary angiogram and negative pharmacological provocation of coronary spasm.

Acute Myocardial Infarction Associated With Pregnancy

“…No information, however, was provided on the outcome of these surgeries. Ten women included in our review underwent CABG (13,14,26,29,30,32,33,54,65,67), 7 due to coronary dissection. Surgery was completed in the antepartum period in 5 patients (usually after the second week of pregnancy), of whom 1 had Turner syndrome and underwent the operation for aortic dissection with occlusion of the ostium of the RCA.…”