Interv Akut Kardiol. 2004;3(4):205-206
An acute myocardial infarction occurs quite rarely in pregnat women and is associated with high mortality for both, mother and fetus. A risk is the highest in the third trimester, in women younger than 35 years and in the case of delivery by Caesarian section.
Authors describe a case of 32 years-old gypsy woman with risky behaviour and low compliance to the medical treatment.
Patient was hospotalised 1st time at 32nd week of pregnancy for acute myocardial infarction of the inferior wall. On the 3rd day of hospitalisation she signed a negative letter of indemnity and left hospital. On the 2rd day after delivery reinfarction occured in the same region. Coronary angiography and percutaneous intervention to the right coronary artery was performed (after strong enforcing) due to unstable angina.
A disscusion is made in the end of the article concerning acute myocardial infarction in pregnant women, including teratment options.
Published: December 31, 2004 Show citation