Acute coronary syndrome during pregnancy
Summary
This study presents two cases of pregnancy-associated myocardial infarction treated with thrombolytic therapy. While one case resolved, the other required percutaneous coronary intervention, highlighting treatment options for heart attacks during pregnancy.
Area of Science:
- Cardiology
- Obstetrics
- Interventional Cardiology
Background:
- Pregnancy increases the risk of cardiovascular events, including myocardial infarction.
- Management of myocardial infarction during pregnancy presents unique challenges due to fetal considerations.
Purpose of the Study:
- To present two cases of myocardial infarction in the second trimester of pregnancy.
- To discuss treatment strategies, including thrombolytic therapy and percutaneous coronary intervention.
- To evaluate outcomes for both mother and child.
Main Methods:
- Case report of two pregnant patients experiencing myocardial infarction.
- Treatment with thrombolytic therapy.
- Diagnostic angiography and percutaneous coronary intervention (balloon angioplasty) in one case.
Main Results:
- Successful treatment with thrombolytic therapy in the first case.
- Temporary symptom relief with thrombolysis in the second case, followed by successful percutaneous coronary intervention for left anterior descending coronary artery stenosis.
- Both patients delivered healthy infants, one at term and one at 33 weeks gestation.
Conclusions:
- Thrombolytic therapy can be effective for myocardial infarction in pregnancy.
- Percutaneous coronary intervention is a viable and potentially superior option when thrombolysis is insufficient.
- Successful management allows for favorable maternal and fetal outcomes.
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