Myocardial Infarction in Pregnancy: What Should We Do?

Abstract

Acute myocard infarct during pregnancy is a rare event with high mortality and women with cardiac comorbid such as hypercholesterolemia, hypertension, and history of myocardial infarction are one of risk that should be warning. However, the main etiology myocard infarct in pregnancy is spontaneous coronary artery dissection, especially in the third semester. Women with unusual chest pain, ST-elevation in electrocardiogram, and sudden cardiac arrest should treat as soon as possible. Patient with unstable condition revascularization is recommended. However, there are several things that should be monitor during revascularization such as consideration type of stent, how much contrast that will be use, and planning after stent implantation. Thrombolysis should be the last option because of bleeding risk. Therapy during and after pregnancy should be monitor continuously because of their side effect to mother and baby, and delivery in women with acute myocard infarct should be one of main concerns. With this review, we hope that we can raise our awareness in pregnant women with their comorbid and their future pregnancy.

Impact of Exogenous Factors and Anesthetic Risk in Premature Birth during the Pandemic Period

“…The parturient’s anesthetic risk in premature birth [ 11 , 12 , 13 , 14 , 15 ] may be higher than in the case of a full-term birth due to the immaturity of the child’s nervous system and other factors related to prematurity [ 16 ], such as the pregnant woman’s health condition, exogenous factors, mental status, and socio-economic and emotional conditions. However, anesthesia is often necessary to control pain [ 15 , 17 ] and allow doctors to surgically intervene in specific obstetric indications and anesthetic risks [ 18 , 19 , 20 ] of the patient that may arise during premature birth. A key factor in resolving cases is collaboration within the medical team, which must quickly assess all the risks and benefits of anesthesia in these situations and choose the safest and most effective method of pain control for both the mother and the child [ 21 , 22 ].…”