[Cesarean section in a patient with acute myocardial infarction during pregnancy].
Maternal heart disease during pregnancy is the main cause of obstetric morbidity and mortality. We report the case of a 40-year-old woman with a history of myocardial infarction and percutaneous transluminal coronary angioplasty. The patient suffered a second heart attack and received pharmacologic treatment. After admission, she was seen to be 29 weeks pregnant. Delivery was by cesarean section under progressive epidural block without complications. We review the medical, obstetric, and anesthetic implications of myocardial infarction during pregnancy. The management of such patients should be multidisciplinary and decisions about delivery should be taken based on obstetric considerations.
Péez-Lozana
B
B
Servicio de Anestesia y Reanimación, Complejo Hospitalario San Millán-San Pedro-La Rioja, Logroño.
García
A
A
Lobato
F
F
Rupérez
A
A
Franco
J A
JA
Gosalbez
J
J
D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D002317:Cardiovascular Agents / Q000627:therapeutic use; D002585:Cesarean Section; D003131:Combined Modality Therapy; D000075202:Contraindications; D017023:Coronary Angiography; D003937:Diagnosis, Differential; D017558:Elective Surgical Procedures; D004878:Ergotamine; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis* / Q000188:drug therapy / Q000628:therapy; D017202:Myocardial Ischemia / Q000150:complications / Q000000981:diagnostic imaging; D009767:Obesity, Morbid / Q000150:complications; D010121:Oxytocin; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis* / Q000188:drug therapy / Q000628:therapy; D018566:Pregnancy, High-Risk; D012008:Recurrence; D015607:Stents; D019851:Thrombophilia / Q000188:drug therapy / Q000209:etiology
D002317:Cardiovascular Agents; D010121:Oxytocin; D004878:Ergotamine