Acute anterior myocardial infarction in the 36th week of pregnancy: A successful stepwise treatment approach
Acute myocardial infarction (AMI) is associated with a high incidence of maternal and fetal complications when it develops during pregnancy or the early postpartum period. The pathophysiology involves various factors, including alterations in the vascular wall and hypercoagulability as a result of t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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KARE Publishing
2018-11-01
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| Series: | Türk Kardiyoloji Derneği Arşivi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-79092 |
| _version_ | 1797919391591956480 |
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| author | Murat Akçay Murat Meriç Ömer Gedikli Serkan Yüksel Mahmut Şahin |
| author_facet | Murat Akçay Murat Meriç Ömer Gedikli Serkan Yüksel Mahmut Şahin |
| author_sort | Murat Akçay |
| collection | DOAJ |
| description | Acute myocardial infarction (AMI) is associated with a high incidence of maternal and fetal complications when it develops during pregnancy or the early postpartum period. The pathophysiology involves various factors, including alterations in the vascular wall and hypercoagulability as a result of the hormonal and hemodynamic effects of pregnancy. It frequently occurs due to the development of a thrombus following a ruptured plaque. In addition, coronary artery dissection constitutes a significant cause of AMI in pregnancy. In the literature, the therapeutic approach covers a wide spectrum, ranging from conservative follow-up to percutaneous coronary intervention, urgent bypass surgery, and occasionally, thrombolytic therapy. The success rate is often low; however, maternal and fetal complications are seen more frequently during invasive interventions and bypass surgeries because of the structural changes in the coronary intima and media wall. Presently described is the case of a woman in the 36th week of pregnancy who presented with AMI. The occlusion could not be detected during the primary percutaneous intervention, and thrombolytic treatment and a stepwise percutaneous intervention were performed with a successful result. |
| first_indexed | 2024-04-10T13:44:47Z |
| format | Article |
| id | doaj.art-a82e2e696f354db0aafbbed6b7020b50 |
| institution | Directory Open Access Journal |
| issn | 1016-5169 |
| language | English |
| last_indexed | 2024-04-10T13:44:47Z |
| publishDate | 2018-11-01 |
| publisher | KARE Publishing |
| record_format | Article |
| series | Türk Kardiyoloji Derneği Arşivi |
| spelling | doaj.art-a82e2e696f354db0aafbbed6b7020b502023-02-15T16:11:00ZengKARE PublishingTürk Kardiyoloji Derneği Arşivi1016-51692018-11-0146870270510.5543/tkda.2018.79092TKDA-79092Acute anterior myocardial infarction in the 36th week of pregnancy: A successful stepwise treatment approachMurat Akçay0Murat Meriç1Ömer Gedikli2Serkan Yüksel3Mahmut Şahin4Department of Cardiology, Ondokuz Mayıs University Faculty of Medicine, Samsun, TurkeyDepartment of Cardiology, Ondokuz Mayıs University Faculty of Medicine, Samsun, TurkeyDepartment of Cardiology, Ondokuz Mayıs University Faculty of Medicine, Samsun, TurkeyDepartment of Cardiology, Ondokuz Mayıs University Faculty of Medicine, Samsun, TurkeyDepartment of Cardiology, Ondokuz Mayıs University Faculty of Medicine, Samsun, TurkeyAcute myocardial infarction (AMI) is associated with a high incidence of maternal and fetal complications when it develops during pregnancy or the early postpartum period. The pathophysiology involves various factors, including alterations in the vascular wall and hypercoagulability as a result of the hormonal and hemodynamic effects of pregnancy. It frequently occurs due to the development of a thrombus following a ruptured plaque. In addition, coronary artery dissection constitutes a significant cause of AMI in pregnancy. In the literature, the therapeutic approach covers a wide spectrum, ranging from conservative follow-up to percutaneous coronary intervention, urgent bypass surgery, and occasionally, thrombolytic therapy. The success rate is often low; however, maternal and fetal complications are seen more frequently during invasive interventions and bypass surgeries because of the structural changes in the coronary intima and media wall. Presently described is the case of a woman in the 36th week of pregnancy who presented with AMI. The occlusion could not be detected during the primary percutaneous intervention, and thrombolytic treatment and a stepwise percutaneous intervention were performed with a successful result.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-79092acute myocardial infarctionpregnancy; spontaneous coronary artery dissection; stepwise treatment approach; thrombolytic therapy. |
| spellingShingle | Murat Akçay Murat Meriç Ömer Gedikli Serkan Yüksel Mahmut Şahin Acute anterior myocardial infarction in the 36th week of pregnancy: A successful stepwise treatment approach Türk Kardiyoloji Derneği Arşivi acute myocardial infarction pregnancy; spontaneous coronary artery dissection; stepwise treatment approach; thrombolytic therapy. |
| title | Acute anterior myocardial infarction in the 36th week of pregnancy: A successful stepwise treatment approach |
| title_full | Acute anterior myocardial infarction in the 36th week of pregnancy: A successful stepwise treatment approach |
| title_fullStr | Acute anterior myocardial infarction in the 36th week of pregnancy: A successful stepwise treatment approach |
| title_full_unstemmed | Acute anterior myocardial infarction in the 36th week of pregnancy: A successful stepwise treatment approach |
| title_short | Acute anterior myocardial infarction in the 36th week of pregnancy: A successful stepwise treatment approach |
| title_sort | acute anterior myocardial infarction in the 36th week of pregnancy a successful stepwise treatment approach |
| topic | acute myocardial infarction pregnancy; spontaneous coronary artery dissection; stepwise treatment approach; thrombolytic therapy. |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=tkd&un=TKDA-79092 |
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