| Peripartum cardiac chest pain and troponin rise. | |
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MedLine Citation:
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PMID: 20833026 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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K Tatham; Y Hughes-Roberts; S Davies; M Johnson; K Ashpole; M Cox |
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Publication Detail:
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Type: Case Reports; Journal Article Date: 2010-09-15 |
Journal Detail:
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Title: International journal of obstetric anesthesia Volume: 19 ISSN: 1532-3374 ISO Abbreviation: Int J Obstet Anesth Publication Date: 2010 Oct |
Date Detail:
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Created Date: 2010-09-27 Completed Date: 2011-01-21 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9200430 Medline TA: Int J Obstet Anesth Country: Netherlands |
Other Details:
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Languages: eng Pagination: 453-5 Citation Subset: IM |
Copyright Information:
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Copyright © 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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Chelsea and Westminster Hospital NHS Foundation Trust, London, UK. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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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:
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0/Troponin |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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