Document Detail


Coronary artery disease and myocardial infarction in pregnancy: a review of epidemiology, diagnosis, and medical and surgical management.
MedLine Citation:
PMID:  20548979     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Ischemic heart disease is uncommon during pregnancy, occurring in approximately one in 10,000 live births. With the increasing age and fertility of mothers, the incidence of coronary artery disease in pregnancy is likely to increase. Atherosclerosis appears to be the most common cause of acute myocardial infarction, although coronary spasm, coronary dissection and thrombus have been reported, among others. The diagnosis of ischemic heart disease in the pregnant population can be challenging and not without risk to the fetus. Although there have been many reports of acute myocardial infarction and cardiopulmonary bypass surgery during pregnancy, most knowledge is based on anecdotal reports. Even less is known about the use of thrombolytics, percutaneous coronary intervention and the optimal medical management of ischemic heart disease during pregnancy. The epidemiology, diagnosis, medical and surgical treatment, and prognosis of ischemic heart disease in pregnancy are the subject of the present review.
Authors:
Angela Kealey
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Canadian journal of cardiology     Volume:  26     ISSN:  1916-7075     ISO Abbreviation:  Can J Cardiol     Publication Date:    2010 Jun-Jul
Date Detail:
Created Date:  2010-06-15     Completed Date:  2010-07-15     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  8510280     Medline TA:  Can J Cardiol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  185-9     Citation Subset:  IM    
Affiliation:
University of Calgary, Calgary, Alberta, Canada. angela.kealey@albertahealthservices.ca
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MeSH Terms
Descriptor/Qualifier:
Alberta / epidemiology
Coronary Artery Disease* / diagnosis,  epidemiology,  therapy
Diagnostic Techniques, Cardiovascular*
Female
Humans
Incidence
Morbidity / trends
Myocardial Infarction* / diagnosis,  epidemiology,  therapy
Myocardial Revascularization / methods*
Pregnancy
Pregnancy Complications, Cardiovascular* / diagnosis,  epidemiology,  therapy
Pregnancy Outcome
Survival Rate / trends
Thrombolytic Therapy / methods*
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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