Acute ST elevation myocardial infarction in pregnancy due to coronary vasospasm: a case report and review of literature.
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.
Iadanza
Alessandro
A
Del Pasqua
Alessia
A
Barbati
Riccardo
R
Carrera
Arcangelo
A
Gentilini
Rodolfo
R
Favilli
Roberto
R
Pierli
Carlo
C
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