title: Acute myocardial infarction in early postpartum.
abstract: We present a case of acute anterior myocardial infarction in a breastfeeding woman, 10 days after delivery. The presumed cause was proximal left anterior artery vasospasm, induced by a combination of smoking a first cigarette in the early morning and salbutamol inhalation, in the particular context of peripartum. We discuss briefly the epidemiology, pathophysiology, risk factors, diagnosis, treatment and prognosis of myocardial infarction related to pregnancy and the postpartum period.
authors.affiliation: Department of Cardiology, Erasme University Hospital Brussels, Belgium. Elkedv@msn.com
authors.forename: Elke
authors.initials: E
authors.lastname: De Vuyst
authors.forename: Nicolas
authors.initials: N
authors.lastname: Preumont
authors.forename: Marc
authors.initials: M
authors.lastname: Renard
mesh_terms: D058666:Adrenergic beta-2 Receptor Agonists / Q000009:adverse effects; D000328:Adult; D000420:Albuterol / Q000009:adverse effects; D056988:Anterior Wall Myocardial Infarction / Q000209:etiology* / Q000503:physiopathology; D001942:Breast Feeding; D003329:Coronary Vasospasm / Q000150:complications / Q000503:physiopathology; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000209:etiology* / Q000503:physiopathology; D011644:Puerperal Disorders / Q000209:etiology* / Q000503:physiopathology; D012907:Smoking / Q000009:adverse effects
chemical_list: D058666:Adrenergic beta-2 Receptor Agonists; D000420:Albuterol