病例报告:ST-升高心肌梗塞在妊娠第三季度 怀孕
Luis Martinez1, Emmelyn J Samones1, Michael Kiemeney1
1Loma Linda University Medical Center, Department of Emergency Medicine, Loma Linda, California.
Clinical practice and cases in emergency medicine
|May 22, 2025
概括
急性冠状动脉综合征 (ACS) 在怀孕期间很罕见但严重. 这一案例显示,一名孕妇患有STEMI,强调及时诊断和治疗对于母亲和胎儿的健康至关重要.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 急性冠状动脉综合征 (ACS) 在怀孕期间不常见,但可以发生,特别是在患有危险因素的患者中.
- 怀孕相关的ACS需要在胸痛的差异诊断中仔细考虑.
研究的目的:
- 在孕妇中报告ST升高心肌梗塞 (STEMI) 病例.
- 突出早期识别和怀孕期间STEMI的管理的重要性.
主要方法:
- 一个26岁的孕妇在怀孕37周时出现了胸痛.
- 电心电图 (ECG) 显示STEMI,促使立即进行心脏导管.
- 穿皮冠状动脉干预成功进行.
主要成果:
- 该患者被诊断为右侧侧动脉中100%的血栓性阻塞.
- 进行了成功的穿皮冠状动脉干预.
- 患者和胎儿情况稳定,计划进行剖腹产.
结论:
- 早期的STEMI激活和产科咨询对于怀孕患者具有有关心电图的发现至关重要.
- 在怀孕的胸痛患者中保持对STEMI的高度怀疑指数是必不可少的.
- 怀孕并没有违反标准的急性心肌梗塞治疗.
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