title: Acute Coronary Syndrome During Pregnancy: A Case Report and Literature Review.
abstract: A 32-year-old multiparous woman who presented with chest pain at seven weeks gestation was admitted to our hospital 35 minutes after the onset of symptoms. Sudden cardiac arrest developed while the patient was waiting in the triage room. Cardiopulmonary resuscitation was performed, and the patient was immediately intubated. Electrocardiography revealed an inferior myocardial infarction. The patient underwent coronary angiography, which revealed slow coronary flow of the circumflex and left anterior descending coronary arteries. For treatment, the combination of aspirin with clopidogrel and unfractionated heparin was initiated. She had previously had three healthy children and hadn't had any problems during her previous pregnancies. She had a history of family and smoking, but no history of other coronary risk factors such as diabetes mellitus, hypertension, or dyslipidemia. She was discharged home on day five after admission with clopidogrel, aspirin and a beta-blocker with close outpatient follow-up. Elective abortion was planned for two weeks after the myocardial infarction.
authors.affiliation: Department of Cardiology, Sakarya University Training and Research Hospital, Sakarya.
authors.forename: Sabiye
authors.initials: S
authors.lastname: Yilmaz
authors.affiliation: Department of Cardiology, Sakarya University Training and Research Hospital, Sakarya.
authors.forename: Salih
authors.initials: S
authors.lastname: Sahinkus
authors.affiliation: Department of Cardiology, Sakarya University Training and Research Hospital, Sakarya.
authors.forename: Harun
authors.initials: H
authors.lastname: Kilic
authors.affiliation: Department of Cardiology, Sakarya University Training and Research Hospital, Sakarya.
authors.forename: Huseyin
authors.initials: H
authors.lastname: Gunduz
authors.affiliation: Department of Cardiology, Sakarya University Training and Research Hospital, Sakarya.
authors.forename: Ramazan
authors.initials: R
authors.lastname: Akdemir
keywords: Coronary thrombosis; myocardial infarction; pregnancy