Acute myocardial infarction in pregnancy: Complex challenges in clinical - decision making for the mother and fetus

Acute myocardial infarction during pregnancy is a very uncommon condition, atherosclerotic coronary artery disease is by far the most common cause of an acute coronary syndrome in the general population. The causes of an acute coronary syndrome in the pregnant patient are wide and varied. This has i...

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Main Authors: Mohan M. Edupuganti, Abdul Hakeem, Sabha Bhatti, Vyjayanthi Ganga
Format: Article
Language:English
Published: Elsevier 2019-09-01
Series:IHJ Cardiovascular Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2468600X20300013
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author Mohan M. Edupuganti
Abdul Hakeem
Sabha Bhatti
Vyjayanthi Ganga
author_facet Mohan M. Edupuganti
Abdul Hakeem
Sabha Bhatti
Vyjayanthi Ganga
author_sort Mohan M. Edupuganti
collection DOAJ
description Acute myocardial infarction during pregnancy is a very uncommon condition, atherosclerotic coronary artery disease is by far the most common cause of an acute coronary syndrome in the general population. The causes of an acute coronary syndrome in the pregnant patient are wide and varied. This has important implications with respect to the diagnosis of the etiology and the subsequent management of the cause. There are a number of diagnostic tools for the diagnosis of coronary artery disease but it is important to understand their role in pregnant patients. Spontaneous coronary artery dissection is one of the most common causes of acute coronary syndrome in pregnant patients. Understanding its pathophysiology and knowing the natural history of this condition is paramount in the management of this condition. The article also lists the various therapeutic modalities available to the clinician. Finally, we discuss the delivery of the baby and post partum care of these complex patients.
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spelling doaj.art-cef49405eeac4ece9a1ca388549417282022-12-21T21:10:18ZengElsevierIHJ Cardiovascular Case Reports2468-600X2019-09-013398101Acute myocardial infarction in pregnancy: Complex challenges in clinical - decision making for the mother and fetusMohan M. Edupuganti0Abdul Hakeem1Sabha Bhatti2Vyjayanthi Ganga3Corresponding author. FSCAI Address: 8, Alban Lane, Little Rock, AR, 72223, USA.; Division of Cardiovascular Medicine, Department of Medicine, University of Arkansas for Medical Sciences, USADivision of Cardiovascular Medicine, Department of Medicine, University of Arkansas for Medical Sciences, USADivision of Cardiovascular Medicine, Department of Medicine, University of Arkansas for Medical Sciences, USADivision of Cardiovascular Medicine, Department of Medicine, University of Arkansas for Medical Sciences, USAAcute myocardial infarction during pregnancy is a very uncommon condition, atherosclerotic coronary artery disease is by far the most common cause of an acute coronary syndrome in the general population. The causes of an acute coronary syndrome in the pregnant patient are wide and varied. This has important implications with respect to the diagnosis of the etiology and the subsequent management of the cause. There are a number of diagnostic tools for the diagnosis of coronary artery disease but it is important to understand their role in pregnant patients. Spontaneous coronary artery dissection is one of the most common causes of acute coronary syndrome in pregnant patients. Understanding its pathophysiology and knowing the natural history of this condition is paramount in the management of this condition. The article also lists the various therapeutic modalities available to the clinician. Finally, we discuss the delivery of the baby and post partum care of these complex patients.http://www.sciencedirect.com/science/article/pii/S2468600X20300013PregnancyMyocardial infarctionSpontaneous coronary artery dissection
spellingShingle Mohan M. Edupuganti
Abdul Hakeem
Sabha Bhatti
Vyjayanthi Ganga
Acute myocardial infarction in pregnancy: Complex challenges in clinical - decision making for the mother and fetus
IHJ Cardiovascular Case Reports
Pregnancy
Myocardial infarction
Spontaneous coronary artery dissection
title Acute myocardial infarction in pregnancy: Complex challenges in clinical - decision making for the mother and fetus
title_full Acute myocardial infarction in pregnancy: Complex challenges in clinical - decision making for the mother and fetus
title_fullStr Acute myocardial infarction in pregnancy: Complex challenges in clinical - decision making for the mother and fetus
title_full_unstemmed Acute myocardial infarction in pregnancy: Complex challenges in clinical - decision making for the mother and fetus
title_short Acute myocardial infarction in pregnancy: Complex challenges in clinical - decision making for the mother and fetus
title_sort acute myocardial infarction in pregnancy complex challenges in clinical decision making for the mother and fetus
topic Pregnancy
Myocardial infarction
Spontaneous coronary artery dissection
url http://www.sciencedirect.com/science/article/pii/S2468600X20300013
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