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Acute myocardial infarction in pregnancy - a case report

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Author(s): Samanta Magro Soares

Journal: Acta Obstetrica e Ginecologia Portuguesa
ISSN 1646-5830


ABSTRACT
Acute myocardial infarction (AMI) is a rare disease in women of reproductive age. The estimated incidence in pregnancy is 6.2/100.000, but this number may be increasing as women are postponing their pregnancies.The authors report the case of an AMI in a 33-year-old woman with a personal history of chronic hypertension, obesity and dyslipidaemia, and a family history of 3 first-degree relatives with AMI. The episode occured at 29 weeks of pregnancy with a typical clinical presentation. Electrocardiographic changes and increased biochemical markers confirmed the clinical suspicion. Cardiac ultrasound showed no significant compromise in cardiac function. The woman simultaneously developed moderate preeclampsia. After pharmacological treatment, no major complications of the AMI and preeclampsia ensued. At 33 weeks of gestation fetal growth restriction was diagnosed, with absent diastolic flow in the umbilical artery. A fetus weighing 1370g was delivered by caesarean section. Short-term maternal and neonatal evolution after delivery was normal.
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