Document Detail

Peripartum acute myocardial infarction: management perspective.
MedLine Citation:
PMID:  12522527     Owner:  NLM     Status:  MEDLINE    
Acute myocardial infarction in pregnancy and puerperium is an uncommon event with substantial morbidity and mortality rates. Atherosclerosis may be the cause, but often the coronary arteries are healthy at angiography. In such cases, the suggested mechanism is a decreased coronary perfusion related to coronary spasm or in situ thrombosis. Most pregnant women who died after myocardial infarction did so at the time of initial infarction, and maternal mortality was greatest if the infarction was late in pregnancy. Increasing cardiovascular stresses of late pregnancy, especially when intensified by parturition, seriously compromise women with ischemic heart disease. Therefore, there should be efforts to limit myocardial oxygen demand throughout pregnancy, and particularly during parturition. It is important for diagnosis to have increased awareness of its possible occurrence. Although principles of management can be generalized, it is necessary to provide individualized care for these high-risk patients by a multidisciplinary team of cardiologists, anesthesiologists, and obstetricians.
Vithaya Chaithiraphan; Ramesh M Gowda; Ijaz A Khan; Carl D Reimers
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American journal of therapeutics     Volume:  10     ISSN:  1075-2765     ISO Abbreviation:  Am J Ther     Publication Date:    2003 Jan-Feb
Date Detail:
Created Date:  2003-01-10     Completed Date:  2003-04-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9441347     Medline TA:  Am J Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  75-7     Citation Subset:  IM    
Division of Cardiology, Beth Israel Medical Center, New York, New York, USA.
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MeSH Terms
Angioplasty, Transluminal, Percutaneous Coronary*
Myocardial Infarction / diagnosis,  therapy*
Puerperal Disorders / diagnosis,  therapy*

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