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Acute myocardial infarction in pregnancy: spasm caused by hyperthyroidism?
LingQing Wang1, JianGuang Yang1, JiPing Zheng1
1Department of Cardiology, Taizhou First People's Hospital, Wenzhou Medical University, Taizhou, Zhejiang Province, China.
The Journal of International Medical Research
|March 27, 2019
Summary
A young pregnant woman experienced myocardial infarction without traditional risk factors. Coronary spasm, potentially linked to hyperthyroidism, is the suspected cause, highlighting the value of early angiography.
Area of Science:
- Cardiology
- Obstetrics
- Endocrinology
Background:
- ST-segment elevation myocardial infarction (STEMI) during pregnancy is rare.
- Identifying the etiology of myocardial infarction in pregnant patients without traditional risk factors is crucial.
Observation:
- A 26-year-old pregnant woman (14 weeks gestation) presented with STEMI.
- Coronary angiography showed no significant coronary artery abnormalities.
- The patient had no history of hypertension, diabetes, dyslipidemia, or smoking.
Findings:
- Coronary artery spasm was identified as the most probable cause of myocardial infarction.
- Hyperthyroidism is suspected as a contributing factor to the coronary spasm.
- Early coronary angiography proved beneficial in diagnosing the coronary artery condition.
Implications:
- This case underscores the importance of considering coronary artery spasm in pregnant women presenting with myocardial infarction, even in the absence of typical risk factors.
- Hyperthyroidism should be evaluated as a potential trigger for coronary spasm in this population.
- Prompt diagnostic angiography is essential for accurate assessment and management of myocardial infarction during pregnancy.
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