title: Pregnancy after acute coronary syndrome: a proposal for patients' management and a literature review.
abstract: Coronary artery disease complicates only 0.01% of all pregnancies. For this reason, more exhaustive data on the management of such cases is lacking. Even guidelines on management of cardiovascular disease in pregnant women are scarce focusing mainly on acute myocardial infarction. This is a complex issue involving thorough evaluation of cardiovascular status in each pregnant woman, assessment of risk for developing coronary complications, and close cooperation with obstetric teams. Safety data on typical cardiac drugs such as statins, angiotensin converting enzyme inhibitors, angiotensin receptor blockers, or novel antiplatelet drugs are also scarce and their effect on the developing human fetus is not well understood. We present a review on the management of such patients.
authors.affiliation: Intensive Cardiac Care Unit, Świętokrzyskie Cardiology Center, 25-736 Kielce, Poland.
authors.forename: Agnieszka
authors.initials: A
authors.lastname: Janion-Sadowska
authors.forename: Marcin
authors.initials: M
authors.lastname: Sadowski
authors.forename: Jacek
authors.initials: J
authors.lastname: Kurzawski
authors.forename: Lukasz
authors.initials: L
authors.lastname: Zandecki
authors.forename: Marianna
authors.initials: M
authors.lastname: Janion
mesh_terms: D002317:Cardiovascular Agents / Q000008:administration & dosage* / Q000009:adverse effects; D003324:Coronary Artery Disease / Q000150:complications / Q000188:drug therapy* / Q000473:pathology*; D016903:Drug Monitoring; D005260:Female; D006801:Humans; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000188:drug therapy* / Q000473:pathology; D012307:Risk Factors
chemical_list: D002317:Cardiovascular Agents