Acute myocardial infarction during pregnancy successfully treated with primary percutaneous coronary intervention

Balmain, Sean; McCullough, Christian T.; Love, C.D.B.; Hughes, Rhona; Heidemann, B.; Bloomfield, Peter

doi:10.1016/j.ijcard.2006.08.045

Cited by 17 publications

(4 citation statements)

References 8 publications

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“…Percutaneous coronary intervention (PCI) is becoming the treatment of choice for revascularisation following AMI in pregnancy with reassuring reports on both its safety and efficacy. 9–11 Stent placement may be required depending on the findings during PCI. Pharmacologic management in the acute phase consists of anticoagulation with low-molecular-weight heparin and antiplatelet therapy with Aspirin and Thienopyridine derivatives such as Clopidogrel.…”

Section: Discussionmentioning

confidence: 99%

Acute myocardial infarction in pregnancy following unlicensed use of methylenedioxymethamphetamine (‘ecstasy’)

Okunoye¹,

Dutton

2013

Scott Med J

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Acute myocardial infarction is rare in pregnancy; however, the emerging trend towards advanced maternal age and the rising prevalence of obesity and diabetes suggest that more cases of myocardial infarction are likely to be encountered in pregnancy. However, there is scanty evidence on the risk of myocardial infarction with regard to socially misused substances in pregnancy. We describe the management of a case of acute myocardial infarction following unlicensed use of 3,4-methylenedioxymethamphetamine ('Ecstasy') in pregnancy. The case highlights a rare but serious risk associated with substance misuse in pregnancy.

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Section: Discussionmentioning

confidence: 99%

Acute myocardial infarction in pregnancy following unlicensed use of methylenedioxymethamphetamine (‘ecstasy’)

Okunoye¹,

Dutton

2013

Scott Med J

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“…The most important points relevant to the management of patients with AMI during pregnancy are the timing of the delivery and drug treatment. A number of cases reporting successful PCI as a treatment of STEMI during pregnancy have been published [13,14]. Evidence-based treatment of these patients is difficult due to the lack of data from randomized controlled trials.…”

Section: Discussionmentioning

confidence: 99%

Acute myocardial infarction due to antiphospholipid antibody syndrome in a young pregnant woman

Çakmak

Aslan

Durmaz

et al. 2011

Journal of Cardiology Cases

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Myocardial infarction (MI) in pregnant patients confer additional risks and unique problems related to necessity of concomitant obstetric interventions and coexistence of disorders as hypercoagulability. Therefore, patients usually have a more complicated course which demands prompt diagnosis and appropriate treatment. Here we report a 22 year old pregnant woman with an acute anterior myocardial infarction and the complicated course of the management. Although the patient underwent a successful percutaneous coronary intervention at the first presentation with MI, one week later she suffered a stent thrombosis presumably due to cessation of clopidogrel in order to prevent bleeding before the termination of pregnancy. Later, a detailed examination of the patient has led to diagnosis of antiphospholipid antibody syndrome.

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“…27], 28 and 31 β-blockers and nitrates can both be used in the management of these patients. 25, 29 and 31 The administration of nitrates in a pregnant patient needs to be monitored carefully as they may cause hypotension and tachycardia. 30 β1-selective blockers should be used in pregnant women, but it is important to remember that β-blockers are associated with intra-uterine growth restriction and hypoglycaemia.…”

Section: Treatmentmentioning

confidence: 99%

Underlying medical conditions

Lombaard

Pattinson

2008

Best Practice & Research Clinical Obstetrics & Gynaecol

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More than half of maternal deaths in the UK are due to pre-existing medical conditions, and medical emergencies often mimic acute obstetric conditions. An acute flare of systemic lupus erythaematosus, a thyroid storm or a phaeochromocytoma have many of the signs and symptoms of imminent eclampsia. Similarly, severe postpartum haemorrhage can result in diagnostic difficulties of medical conditions such as Addison's syndrome or acute renal failure. An acute collapse can be due to a pulmonary embolus, myocardial infarction, tachyarrhythmia or myasthenia gravis. These conditions are rare; however, unless they are considered in a differential diagnosis, they will not be diagnosed, to the detriment of the woman and her infant. This chapter deals with acute medical conditions occurring uncommonly in pregnant women. An obstetrician should know the initial steps to take in the emergency management of these cases.

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Acute myocardial infarction during pregnancy successfully treated with primary percutaneous coronary intervention

Cited by 17 publications

References 8 publications

Acute myocardial infarction in pregnancy following unlicensed use of methylenedioxymethamphetamine (‘ecstasy’)

Acute myocardial infarction in pregnancy following unlicensed use of methylenedioxymethamphetamine (‘ecstasy’)

Acute myocardial infarction due to antiphospholipid antibody syndrome in a young pregnant woman

Underlying medical conditions

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