title: Early diagnosis of postpartum acute myocardial infarction with combined use of troponin T and heart-type fatty acid-binding protein rapid assay.
abstract: Acute myocardial infarction (AMI) during pregnancy or in the early postpartum period is a rare event but may cause perinatal morbidity and mortality. Early diagnosis of AMI is critical for appropriate treatment. We report a case of postpartum AMI in a 40-year-old multiparous woman with varicose veins. On postpartum day 3, the patient suffered severe chest pain. She had been administered oral methylergometrine. In addition to ST-segment elevation in her electrocardiogram, the patient presented with a positive result on whole blood rapid panel tests for troponin T and heart-type fatty acid-binding protein (H-FABP). These findings indicated AMI in the anterolateral wall. The chest pain disappeared with the prompt administration of intravenous pentazocine hydrochloride and sublingual nitroglycerin spray. Angiography did not reveal any signs of coronary stenosis. To our knowledge, this is the first report of postpartum AMI diagnosed rapidly with combined use of troponin T and H-FABP qualitative panel tests.
authors.affiliation: Department of Obstetrics and Gynecology, Takatsuki Red Cross Hospital, Osaka Medical College, Osaka, Japan. kumagai.koji@gmail.com
authors.forename: Koji
authors.initials: K
authors.lastname: Kumagai
authors.forename: Haruhiko
authors.initials: H
authors.lastname: Ohnaka
authors.forename: Fumio
authors.initials: F
authors.lastname: Okamoto
authors.forename: Masayuki
authors.initials: M
authors.lastname: Yasuda
authors.forename: Hideki
authors.initials: H
authors.lastname: Kamegai
authors.forename: Masahide
authors.initials: M
authors.lastname: Ohmichi
mesh_terms: D000328:Adult; D042241:Early Diagnosis; D000074026:Fatty Acid Binding Protein 3; D050556:Fatty Acid-Binding Proteins / Q000097:blood*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000097:blood / Q000175:diagnosis*; D049590:Postpartum Period; D020107:Troponin T / Q000097:blood*
chemical_list: C493408:FABP3 protein, human; D000074026:Fatty Acid Binding Protein 3; D050556:Fatty Acid-Binding Proteins; D020107:Troponin T