title: Acute ST elevation myocardial infarction in pregnancy due to coronary vasospasm: a case report and review of literature.
abstract: Acute myocardial infarction during pregnancy is rare but may be associated with high risk complications. We present a very rare case about an acute myocardial infarction with anterior ST elevation in a 40-year-old woman, at 38th week of gestational period. The coronary arteriograms showed a diffuse left coronary vasospasm. The coronary arteriography at puerperium showed no organic narrowings. This is the first case with a well documented coronary artery vasospasm in pregnancy. Management should follow the usual principles of care for acute myocardial infarction. However, selection of diagnostic and therapeutic approaches may be greatly influenced by fetal safety.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Iadanza
authors.forename: Alessia
authors.initials: A
authors.lastname: Del Pasqua
authors.forename: Riccardo
authors.initials: R
authors.lastname: Barbati
authors.forename: Arcangelo
authors.initials: A
authors.lastname: Carrera
authors.forename: Rodolfo
authors.initials: R
authors.lastname: Gentilini
authors.forename: Roberto
authors.initials: R
authors.lastname: Favilli
authors.forename: Carlo
authors.initials: C
authors.lastname: Pierli
mesh_terms: D006328:Cardiac Catheterization; D003329:Coronary Vasospasm / Q000150:complications* / Q000000981:diagnostic imaging* / Q000188:drug therapy; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology*; D011859:Radiography