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Published on: May 26, 2023

Prinzmetal's Angina in a Pregnant Woman: a Case Report

Fariba Almassinokiani1, Mahmood Reza Alebouyeh, Farshad Entesari

  • 1Rasool Akram Hospital, Tehran University of Medical Sciences, Tehran, Iran.

The Journal of Tehran Heart Center
|October 18, 2012
PubMed

Acute myocardial infarction (MI) during pregnancy is rare and MI due to Prinzmetal's angina is much rarer. We present a 35-year-old, obese, multigravida, and pre-eclamptic woman, who developed acute anterior wall MI at the 30th week of gestation. On coronary angiography, the second obtuse marginal branch was totally occluded and the right coronary artery (RCA) was normal. Three days later, she had chest pain and ST elevation in the inferior leads. On second angiography, there was narrowing in the RCA, while the obtuse marginal branch was patent. We presume that this discrepancy between the first and second electrocardiograms and angiographic findings was due to Prinzmetal's angina.

Keywords:
Myocardial infarctionPregnancyPrinzmetal’s variant angina

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