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Myocardial infarction during pregnancy

M Makkonen1, S Hietakorpi, M R Orden

  • 1Department of Obstetrics and Gynecology, Kuopio University Hospital, Finland.

European Journal of Obstetrics, Gynecology, and Reproductive Biology
|January 1, 1995
PubMed
Summary

Pregnancy myocardial infarction is rare. A 38-year-old woman experienced an acute anterior myocardial infarction at 18 weeks gestation, despite minimal risk factors, highlighting the need for vigilance in pregnant patients.

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Area of Science:

  • Cardiology
  • Obstetrics & Gynecology
  • Maternal-Fetal Medicine

Background:

  • Myocardial infarction (MI) during pregnancy is an uncommon but serious complication.
  • Risk factors for coronary artery disease (CAD) in pregnancy can be subtle.
  • Previous pre-eclampsia and smoking are noted risk factors.

Observation:

  • A 38-year-old gravida presented with an acute anterior myocardial infarction at 18 weeks gestation.
  • Her only identified CAD risk factors were habitual cigarette smoking and prior pre-eclampsia.
  • Coronary angiography at 28 weeks gestation revealed significant coronary artery stenosis.

Findings:

  • The patient successfully carried her pregnancy to term.
  • Labor and delivery occurred without complications.

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  • The case demonstrates a rare occurrence of MI in pregnancy with underlying coronary artery stenosis.

    • Implications:

    • This case underscores the importance of considering cardiovascular events in pregnant women, even with seemingly low risk.
    • Early recognition and management of MI in pregnancy are crucial for maternal and fetal outcomes.
    • Further research into the specific mechanisms and management strategies for MI during pregnancy is warranted.