Acute Inferior Wall Myocardial Infarction and Percutaneous Coronary Intervention of the Right Coronary during Active Labor: A Clinical Report and Review of the Literature

Bredy Pierre-Louis, Parminder Singh, William H. Frishman

Research output: Contribution to journalReview article

17 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)260-268
Number of pages9
JournalCardiology in Review
Volume16
Issue number5
DOIs
StatePublished - Sep 1 2008

Keywords

  • Angioplasty
  • Gestation
  • Myocardial infarction
  • Pregnancy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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