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Acute inferior wall myocardial infarction and percutaneous coronary intervention of the right coronary during active labor: a clinical report and review of the literature.

机译:积极分娩期间急性下壁心肌梗死和右冠状动脉经皮冠状动脉介入治疗:临床报告和文献复习。

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摘要

Acute myocardial infarction (AMI) is a rare event in women of childbearing age and has been estimated to occur at a rate of 1 in 10,000 women during pregnancy. First reported on in 1922, subsequent reports appeared in the literature indicating the unique features of this condition which can significantly affect both maternal and fetal outcomes. With the current maternal trend of childbearing at an older age, in addition to the effects of cigarette smoking, stress and cocaine use, the occurrence of AMI during pregnancy, albeit uncommon, can be expected to increase. In this article we describe a unique case of a 42-year-old woman with an acute inferior wall MI who underwent a percutaneous angioplasty and placement of a bare-metal stent during active labor. The patient tolerated the procedure well and underwent a successful cesarean section with delivery of twins. The subsequent discussion examines the clinical aspects of gestational and early postpartum AMI and reviews current strategies for both diagnosis and treatment.
机译:急性心肌梗塞(AMI)在育龄妇女中很少见,据估计在怀孕期间每10,000名妇女中就有1例发生。最早于1922年进行报道,随后的报道出现在文献中,表明该病的独特特征可能会显着影响孕产妇和胎儿的预后。根据目前的高龄育儿趋势,除了吸烟,压力和可卡因的使用外,预计怀孕期间AMI的发生率也会增加,尽管不常见。在本文中,我们描述了一个42岁的急性下壁MI患者的独特病例,该患者在积极的分娩过程中接受了经皮血管成形术和裸金属支架的放置。患者对手术的耐受性良好,并成功剖腹产并分娩了双胞胎。随后的讨论检查了妊娠和产后早期AMI的临床方面,并回顾了当前的诊断和治疗策略。

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