Anaesthetic management of myocardial infarction in a parturient.
Myocardial infarction is encountered rarely during pregnancy, but when it occurs the event is life-threatening to both mother and fetus. Data on maternal and fetal outcome are limited, but overall maternal mortality approaches 35%, and 40% of deaths occur during the third trimester. We present a case of myocardial infarction occurring at 38 weeks gestation, and discuss the anaesthetic management of the problems encountered during labour and delivery.
Aglio
L S
LS
Department of Anesthesia, Harvard Medical School, Brigham and Women's Hospital, Boston, Ma 02115.
Johnson
M D
MD
D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D006328:Cardiac Catheterization; D002585:Cesarean Section; D005260:Female; D006760:Hospitalization; D006801:Humans; D009203:Myocardial Infarction / Q000150:complications* / Q000188:drug therapy; D005996:Nitroglycerin / Q000627:therapeutic use; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000188:drug therapy
D005996:Nitroglycerin