Pregnant With Myocardial Infarction, How Should I Manage?

Abstract

Myocardial infarction (MI) during pregnancy is rare but has important risks for the mother and the fetus. Its prevalence is 1/10,000 - 30,000. A 38-year-old woman at the 37th gestation week was admitted to the emergency department with the complaint of chest pain. She had undergone mitral valve replacement previously. Her electrocardiograph and clinic are in line with ST elevation inferior MI. A thrombus was identified by angiography at posterolateral of circumflex artery. The patient was followed up with medical treatment, and she had normal birth without any complications. The mother and the baby were discharged from hospital to their home after the follow-up period. In conclusion, emergency intervention should be considered for the pregnant women with MI that can be rare but fatal for the mother and the baby.




J Med Cases. 2017;8(5):167-169
doi: https://doi.org/10.14740/jmc2827w