title: [Acute myocardial infarction due to coronary artery spasm after caesarean section].
abstract: We experienced acute myocardial infarction due to coronary artery spasm after caesarean section. A 41-year-old multigravida woman with no previous cardiac history or coronary risk factor developed acute myocardial infarction after caesarean section, and was successfully resuscitated with emergency percutaneous transluminal coronary angioplasty. Acute myocardial infarction during pregnancy and postpartum period is a rare event, but could be associated with high mortality if it occurs. It is necessary to consider the possibility of acute myocardial infarction and provide early diagnosis and treatment by multidisciplinary team when a pregnant woman complains of retrosternal chest pain.
authors.affiliation: Department of Anesthesiology and Intensive Care, Hiroshima City Hospital, Hiroshima 730-8518.
authors.forename: Toshihisa
authors.initials: T
authors.lastname: Ichiba
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Nishie
authors.forename: Waso
authors.initials: W
authors.lastname: Fujinaka
authors.forename: Keiichi
authors.initials: K
authors.lastname: Tada
mesh_terms: D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D000775:Anesthesia, Spinal; D015906:Angioplasty, Balloon, Coronary; D002585:Cesarean Section; D003329:Coronary Vasospasm / Q000209:etiology*; D004630:Emergencies; D005260:Female; D006801:Humans; D008755:Methylergonovine / Q000009:adverse effects; D009203:Myocardial Infarction / Q000209:etiology* / Q000628:therapy*; D011183:Postoperative Complications; D049590:Postpartum Period; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D014662:Vasoconstrictor Agents / Q000009:adverse effects
chemical_list: D014662:Vasoconstrictor Agents; D008755:Methylergonovine