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Updated: Jul 19, 2026
12:03
Myocardial Infarction and Functional Outcome Assessment in Pigs
Published on: April 25, 2014
[Myocardial infarction in pregnancy].
Schweizerische Medizinische Wochenschrift
|March 30, 1991
Summary
Myocardial infarction in pregnancy is rare but requires awareness for diagnosis. Coronary artery spasm is the likely cause in a case of pregnancy-related heart attack with normal arteries post-delivery.
Area of Science:
- Cardiology
- Obstetrics
- Vascular Medicine
Background:
- Myocardial infarction (MI) during pregnancy and the postpartum period is uncommon.
- Early diagnosis and awareness are crucial for managing this rare but serious condition.
Observation:
- A 37-year-old woman, with no prior coronary risk factors, experienced an anterior septal MI during her third trimester.
- Diagnostic angiography revealed normal coronary arteries one month post-delivery.
- Ventriculography confirmed anteroseptal akinesia.
Findings:
- The presumed cause of MI was coronary artery spasm.
- The patient's history of vasospasm in other vascular beds, migraine, and Raynaud's phenomenon supports the coronary spasm hypothesis.
- Review of existing literature on MI during pregnancy, focusing on clinical presentation, prognosis, etiology, and management.
Implications:
- Highlights the importance of considering coronary artery spasm as a potential etiology for MI in pregnant patients, even without traditional risk factors.
- Emphasizes the need for heightened clinical suspicion and appropriate diagnostic workup for MI in pregnancy.
- Informs clinical practice regarding the diagnosis and management of this rare obstetric complication.
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