Document Detail


Peripartum cardiac chest pain and troponin rise.
MedLine Citation:
PMID:  20833026     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The incidence of myocardial ischaemia is increasing in the obstetric population. This has been attributed to several factors including greater maternal age, the increasing incidence of obesity and diabetes, and the growing population of patients with grown-up congenital heart disease who now reach adulthood and become pregnant. A number of cases of myocardial ischaemia in pregnant women have been documented, during and after delivery, for which no cause has been established. We present a case of a nulliparous woman who developed cardiac chest pain, bradycardia, hypertension and a raised troponin I after vaginal delivery of twin boys at 36 weeks of gestation. Ischaemic electrocardiogram changes were noted. Detailed investigations demonstrated a normal coronary circulation. A patent foramen ovale was found on bubble echocardiography.
Authors:
K Tatham; Y Hughes-Roberts; S Davies; M Johnson; K Ashpole; M Cox
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-09-15
Journal Detail:
Title:  International journal of obstetric anesthesia     Volume:  19     ISSN:  1532-3374     ISO Abbreviation:  Int J Obstet Anesth     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-27     Completed Date:  2011-01-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9200430     Medline TA:  Int J Obstet Anesth     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  453-5     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
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MeSH Terms
Descriptor/Qualifier:
Adult
Chest Pain / etiology*,  therapy
Electrocardiography
Female
Foramen Ovale, Patent / complications
Humans
Magnetic Resonance Imaging
Male
Peripartum Period / physiology*
Pregnancy
Pregnancy Complications, Cardiovascular / therapy*
Troponin / blood*
Twins, Dizygotic
Valsalva Maneuver
Chemical
Reg. No./Substance:
0/Troponin

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


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