Vol 15, No 5 (2020)
Case report
Published online: 2020-12-30
Acute myocardial infarction with ST-segment elevation in 27-year old pregnant women
Folia Cardiologica 2020;15(5):359-362.
Abstract
A pregnant woman diagnosed with a myocardial infarction is an extremely rare case in clinical practice. Obesity and nicotinism are well-known risk factors for cardiovascular events that are significant especially in the population of younger women. In this paper, we present the case of a 27-year-old woman who suffered an ST-elevation myocardial infarction (STEMI) in early pregnancy. Percutaneous coronary intervention constitutes the basis for treatment in such cases. The problem is the optimal adjustment of pharmacotherapy, safety for the developing foetus should also be included in its planning.
Keywords: myocardial infarctionSTEMIpregnancysmokingobesity
References
- Cauldwell M, Baris L, Roos-Hesselink JW, et al. Ischaemic heart disease and pregnancy. Heart. 2019; 105(3): 189–195.
- Regitz-Zagrosek V, Roos-Hesselink J, Bauersachs J, et al. 2018 ESC Guidelines for the management of cardiovascular diseases during pregnancy. Kardiol Pol. 2019: 245–326.
- Ismail S, Wong C, Rajan P, et al. ST-elevation acute myocardial infarction in pregnancy: 2016 update. Clin Cardiol. 2017; 40(6): 399–406.
- Davis M, Diamond J, Montgomery D, et al. Acute coronary syndrome in young women under 55 years of age: clinical characteristics, treatment, and outcomes. Clin Res Cardiol. 2015; 104(8): 648–655.
- Kowalczys A, Mital A, Storoniak K, et al. Zawał serca z uniesieniem odcinka ST u młodej kobiety z trombofilią złożoną. Folia Cardiol. 2017; 12(1): 96–102.
- Poh C-L, Lee C-H. Acute myocardial infarction in pregnant women. Ann Acad Med Singapore. 2010; 39: 247–253.
- Janion-Sadowska A, Sadowski M, Kurzawski J, et al. Pregnancy after acute coronary syndrome: a proposal for patients' management and a literature review. Biomed Res Int. 2013; 2013: 957027.
- De Santis M, De Luca C, Mappa I, et al. Clopidogrel treatment during pregnancy: a case report and a review of literature. Intern Med. 2011; 50(16): 1769–1773.
