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Updated: Aug 19, 2026

Measurement of Myocardial Lactate Production for Diagnosis of Coronary Microvascular Spasm
Published on: September 17, 2021
[Acute myocardial infarction due to coronary artery spasm after caesarean section]
Toshihisa Ichiba1, Hiroyuki Nishie, Waso Fujinaka
1Department of Anesthesiology and Intensive Care, Hiroshima City Hospital, Hiroshima 730-8518.
Abstract:
We experienced acute myocardial infarction due to coronary artery spasm after caesarean section. A 41-year-old multigravida woman with no previous cardiac history or coronary risk factor developed acute myocardial infarction after caesarean section, and was successfully resuscitated with emergency percutaneous transluminal coronary angioplasty. Acute myocardial infarction during pregnancy and postpartum period is a rare event, but could be associated with high mortality if it occurs. It is necessary to consider the possibility of acute myocardial infarction and provide early diagnosis and treatment by multidisciplinary team when a pregnant woman complains of retrosternal chest pain.
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