Pregnancy and coronary artery dissection

Clínica e investigación en arteriosclerosis : publicación oficial de la Sociedad Española de Arteriosclerosis
Efrén Martínez-Quintana, Fayna Rodríguez-González

Abstract

Acute myocardial infarction during pregnancy is associated with high maternal and fetal mortality. Coronary atherosclerosis is the most common cause due to an increase in the age of the patients and the association with cardiovascular risk factors such as smoking, hypertension, diabetes mellitus, preeclampsia, and the existence of family history of coronary disease. However, thrombosis, coronary dissection or coronary vasospasms are other causes that may justify it. We report the case of a 33 weeks pregnant first-time mother, without cardiovascular risk factors, who presented an acute coronary event in the context of atherosclerotic disease and coronary dissection after percutaneous coronary intervention.

References

Mar 2, 2005·Obstetrics and Gynecology·Heidi E LadnerWilliam M Gilbert
Jul 12, 2008·Journal of the American College of Cardiology·Arie Roth, Uri Elkayam
Feb 14, 2009·Clinical Cardiology·C Richard Conti
Jan 5, 2013·Journal of the American Board of Family Medicine : JABFM·George L HigginsTania D Strout
May 28, 2014·International Journal of Cardiology·Daniele GiacoppoCorrado Tamburino
Jun 24, 2014·Texas Heart Institute Journal·Sharonne N Hayes

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