title: ST-elevation acute myocardial infarction in pregnancy: 2016 update.
abstract: Acute myocardial infarction (AMI) during pregnancy or the early postpartum period is rare, but can be devastating for both the mother and the fetus. There have been major advances in the diagnosis and treatment of acute coronary syndromes in the general population, but there is little consensus on the approach to diagnosis and treatment of pregnant women. This article reviews the literature relating to the pathophysiology of AMI in pregnant patients and the challenges in diagnosis and treatment of ST-elevation myocardial infarction (STEMI) in this unique population. From a cardiologist, maternal-fetal medicine specialist, and anesthesiologist's perspective, we provide recommendations for the diagnosis and management of STEMI occurring during pregnancy.
authors.affiliation: Division of Cardiology, Emory University, Atlanta, Georgia.
authors.forename: Sahar
authors.initials: S
authors.lastname: Ismail
authors.affiliation: Department of Anesthesia, University of Iowa Carver College of Medicine, Iowa City, Iowa.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Wong
authors.affiliation: Department of Obstetrics and Gynecology, Maternal-Fetal Medicine, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
authors.forename: Priya
authors.initials: P
authors.lastname: Rajan
authors.affiliation: Division of Cardiology, University of Illinois at Chicago, Chicago, Illinois.
authors.forename: Mladen I
authors.initials: MI
authors.lastname: Vidovich
mesh_terms: D004562:Electrocardiography; D005260:Female; D006801:Humans; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D012189:Retrospective Studies; D000072657:ST Elevation Myocardial Infarction / Q000175:diagnosis / Q000453:epidemiology*
keywords: PCI; PRENANCY; STEMI