Pregnancy with prior coronary artery disease: Specific concerns

Managing pregnancy after myocardial infarction and ectatic coronary vessels

“…[3][4][5] The incidence of preeclampsia and fetal growth restriction were increased in these cases. [2][3][4][5][6] Recurrent MI was not reported prenatally; however, there was a case of postpartum heart failure. 2 In our case, recurrent MI occurred 3 weeks postpartum despite LMWH, aspirin, and statins, with evidence of dissection in the ectatic coronary vessels.…”

“…The majority of reported cases of previous MI in pregnancy have been treated with stenting or coronary artery bypass graft before conception 3–5 . The incidence of preeclampsia and fetal growth restriction were increased in these cases 2–6 .…”

“…The majority of reported cases of previous MI in pregnancy have been treated with stenting or coronary artery bypass graft before conception 3–5 . The incidence of preeclampsia and fetal growth restriction were increased in these cases 2–6 . Recurrent MI was not reported prenatally; however, there was a case of postpartum heart failure 2 .…”

“…2 However, whether or not to perform universal screening for thyroid dysfunction remains controversial, with no consensus between clinical practice guidelines. 3 The primary aim of our study was to evaluate the impact of universal screening implantation on adverse pregnancy outcomes in the setting of real-world clinical practice. A secondary…”

"Successful Pregnancy Outcome After Myocardial Infarction with PCI, a Case Report"

“…Using clopidogrel in pregnancy is controversial due to pregnancy category C. Therefore usually clopidogrel is discontinued and replaced with antiplatelet therapy. However many factors influence the course of coronary heart disease in pregnancy: left ventricular systolic function, the condition of coronary arteries, time elapsed from myocardial infarction [3,4].…”