open access

Vol 63, No 11 (2005)
Other
Published online: 2005-11-18
Submitted: 2012-12-28
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Case report
Myocardial infarction in the peripartum period in a 42-year-old multipara with normal coronary arteries

Danuta Gdyra, Katarzyna Sadkowska, Marek Kuch, Włodzimierz Sawicki, Witold Pietkiewicz, Jerzy Stelmachów, Mirosław Dłużniewski
Kardiol Pol 2005;63(11):553-557.

open access

Vol 63, No 11 (2005)
Other
Published online: 2005-11-18
Submitted: 2012-12-28

Abstract

Acute myocardial infarction (AMI) during pregnancy and puerperium is very rare. With a growing number of older women giving birth, AMI may become more common complication of pregnancy. We present a 42-year-old multipara with coagulation disorders in pregnancy who suffered from AMI in the peripartum period, documented by ECG, cardiac markers and echocardiography, with normal coronary arteries on angiogram. In conclusion, AMI in pregnancy may be different entity than AMI complicating coronary artery disease. It seems that the main causes of AMI in this population may not be atherosclerotic plaques, but reversible factors, i.e. vessel spasm or coagulation disorders. This may explain why in our patient symptoms of AMI were dramatic in spite of a small area of necrosis and normal coronary angiograms.

Abstract

Acute myocardial infarction (AMI) during pregnancy and puerperium is very rare. With a growing number of older women giving birth, AMI may become more common complication of pregnancy. We present a 42-year-old multipara with coagulation disorders in pregnancy who suffered from AMI in the peripartum period, documented by ECG, cardiac markers and echocardiography, with normal coronary arteries on angiogram. In conclusion, AMI in pregnancy may be different entity than AMI complicating coronary artery disease. It seems that the main causes of AMI in this population may not be atherosclerotic plaques, but reversible factors, i.e. vessel spasm or coagulation disorders. This may explain why in our patient symptoms of AMI were dramatic in spite of a small area of necrosis and normal coronary angiograms.
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Keywords

myocardial infarction; pregnancy; normal coronary arteries

About this article
Title

Case report
Myocardial infarction in the peripartum period in a 42-year-old multipara with normal coronary arteries

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 63, No 11 (2005)

Pages

553-557

Published online

2005-11-18

Bibliographic record

Kardiol Pol 2005;63(11):553-557.

Keywords

myocardial infarction
pregnancy
normal coronary arteries

Authors

Danuta Gdyra
Katarzyna Sadkowska
Marek Kuch
Włodzimierz Sawicki
Witold Pietkiewicz
Jerzy Stelmachów
Mirosław Dłużniewski

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