A Rare Case: Myocardial Infarction during Pregnancy

Yıl 2022, , 37 - 39, 01.03.2022

Murat Özdemir , Gülşen Çığşar , Handan Çiftçi , Elnare Gunal

https://doi.org/10.38175/phnx.936960

Öz

Acute myocardial infarction (AMI) is rare during reproductive ages, but is three to four times more common in pregnant women than nonpregnant women. AMI during pregnancy is associated with high maternal and fetal mortality. We present a 22-year-old patient with 28 weeks pregnancy who was admitted to emergency department with chest pain and diagnosed with AMI in her follow-up.

Anahtar Kelimeler

pregnancy, myokardial infarction, chest pain

Nadir Bir Vaka: Gebelikte Miyokart Enfarktüsü

Öz

Akut miyokard enfarktüsü (AMI) üreme çağında nadirdir, ancak hamile kadınlarda hamile olmayan kadınlara göre üç ila dört kat daha yaygındır. Hamilelik sırasında AMI, yüksek maternal ve fetal mortalite ile ilişkilidir. Acil servise göğüs ağrısı ile başvuran ve takibinde AMI tanısı alan 22 yaşındaki 28 haftalık gebeliği olan hastayı sunuyoruz.

Anahtar Kelimeler

gebelik, miyokard enfarktüsü, göğüs ağrısı

Kaynakça

• Roos-Hesselink JW, Duvekot JJ, Thorne SA. Pregnancy in high risk cardiac conditions. Heart. 2009;95:680–686. doi: 10.1136/hrt.2008.148932
• Öztürk İ, Durukan H, Çamsarı A, Dilek S, Dilek TU. Subacute anterior myocardial ınfarction in pregnancy treated with percutaneous transluminal coronary angioplasty (PTCA) and ıntracoronary stent placement. J Turk Soc Obstet Gynecol, 2010;7(3):235-238.
• Mihaljević S, Radivojević RC, Mihaljević L. Acute coronary syndrome with ST-segment elevation in pregnancy: anesthetic management of delivery. Coll Antropol. 2015 Jun;39(2):447-450
• Pacheco LD, Saade GR, Hankins GD. Acute myocardial infarction during pregnancy. Clin Obstet Gynecol. 2014 Dec;57(4):835-443. doi: 10.1097/GRF.0000000000000065
• Roth A, Elkayam U. Acute myocardial infarction associated with pregnancy. J Am Coll Cardiol. 2008 Jul 15;52(3):171-180. doi: 10.1016/j.jacc.2008.03.049
• Bush N, Nelson-Piercy C, Spark P, Kurinczuk JJ, Brocklehurst P, Knight M; UKOSS. Myocardial infarction in pregnancy and postpartum in the UK. Eur J Prev Cardiol. 2013 Feb;20(1):12-20. doi: 10.1177/1741826711432117. Epub 2011 Nov 29
• Yilmaz S, Sahinkus S, Kilic H, Gunduz H, Akdemir R. Acute coronary syndrome during pregnancy: A case report and literature review. Turk J Emerg Med. 2016 Feb 26;14(3):135-138. doi: 10.5505/1304.7361.2014.05924
• Duarte FP, O’Neill P, Centeno MJ, Ribeiro I, Moreira J. Myocardial ınfarction in the 31st week of pregnancy - Case report. Rev Bras Anestesiol 2011;61(2): 225-231
• Roth A, Elkayam U. Acute myocardial infarction associated with pregnancy. Ann Intern Med. 1996 Nov 1;125(9):751-162. doi: 10.7326/0003-4819-125-9-199611010-00009
• Badui E, Enciso R. Acute myocardial infarction during pregnancy and puerperium: a review. Angiology. 1996 Aug;47(8):739-756. doi: 10.1177/000331979604700801
• Mulla ZD, Wilson B, Abedin Z, Hernandez LL, Plavsic SK. Acute myocardial infarction in pregnancy: a statewide analysis. J Registry Manag. 2015 Spring;42(1):12-17
• Fayomi O, Nazar R. Acute myocardial infarction in pregnancy: a case report and subject review. Emerg Med J. 2007;24(11):800-801. doi:10.1136/emj.2007.048132
• Janion M, Sielski J, Janion-Sadowska A. Myocardial infarction in pregnant women--case reports. Int J Cardiol. 2007 Oct 1;121(2):207-209. doi: 10.1016/j.ijcard.2006.08.085.