Abstract
Myocardial infarction occurring during pregnancy or the puerperium is a rare condition, occurring in about 1 per 10 000 deliveries, and carries a mortality of approximately 30%. As a consequence of its rarity, symptoms of impending infarction may be easily mistaken by physicians for much more common and innocuous conditions, especially those (such as gastroesophageal reflux) typically associated with pregnancy. Two cases of infarction in pregnant women are presented, with a discussion of risk factors which may predispose towards development of coronary artery disease or thrombosis in this population. Other, more uncommon, causes of myocardial infarction during pregnancy are also addressed.
Issue Section:
Research Papers
References
1.
Hurst
, J. W.
, Ed., The Heart
, 4th ed., McGraw-Hill
, New York
, 1978
, p. 1106.2.
Ginz
, B.
, “Myocardial Infarction in Pregnancy
,” The Journal of Obstetrics and Gynaecology of the British Commonwealth
, Vol. 77
, No. 7
, 07
1970
, pp. 610
-615
.3.
Hughes
, T. B. J.
and Charters
, D. W.
, “Myocardial Infarction in Pregnancy
,” New Zealand Medical Journal
0028-8446, Vol. 81
, 14
05
1975
, pp. 445
-446
.4.
Husaini
, M. H.
, “Myocardial Infarction During Pregnancy: Report of Two Cases With Review of the Literature
,” Postgraduate Medical Journal
0032-5473, Vol. 47
, No. 10
, 10
1971
, pp. 660
-665
.5.
Buehler
, J. W.
, Kavnitz
, A. M.
, Hogue
, C. J. R.
, Hughes
, J. M.
, Smith
, J. C.
, et al, “Maternal Mortality in Women Aged 35 Years or Older: United States
,” Journal of the American Medical Association
0098-7484, Vol. 255
, No. 1
, 03
01
1986
, pp. 53
-57
.6.
Mann
, J. T.
, Doll
, R.
, Thorogood
, M.
, Vessey
, M. P.
, and Waters
, W. E.
, “Risk Factors for Myocardial Infarction in Young Women
,” British Journal of Preventive and Social Medicine
0007-1242 (London), Vol. 30
, No. 2
, 06
1976
, pp. 94
-100
.7.
Hibbard
, L. T.
, “Maternal Mortality Due to Cardiac Disease
,” Clinics in Obstetrics and Gynaecology
, Vol. 18
, No. 3
, 09
1975
, pp. 27
-36
.8.
Sasse
, L.
, Wagner
, R.
, and Murray
, F. E.
, “Transmural Myocardial Infarction During Pregnancy
,” American Journal of Cardiology
0002-9149, Vol. 35
, No. 3
, 03
1975
, pp. 448
-452
.9.
Henion
, W. A.
, Hilal
, A.
, Matthew
, P. K.
, Lazarus
, A. R.
, and Cohen
, J.
, “Post Partum Myocardial Infarction
,” New York State Journal of Medicine
0028-7628, Vol. 82
, No. 1
, 01
1982
, pp. 57
-62
.10.
Chant
, G. N.
, “Coronary Anatomy in Post Partum Acute Myocardial Infarction
,” American Journal of Cardiology
0002-9149, Vol. 45
, No. 4
, 04
1980
, p. 912.11.
Beary
, J. F.
, Summer
, W. R.
, and Bulkley
, B. H.
, “Post Partum Acute Myocardial Infarction: A Rare Occurrence of Uncertain Etiology
,” American Journal of Cardiology
0002-9149. Vol. 43
, No. 1
, 01
1979
, pp. 158
-161
.12.
Ciraulo
, D. A.
and Markovitz
, A.
, “Myocardial Infarction in Pregnancy Associated With A Coronary Thrombosis
,” Archives of Internal Medicine
0003-9926, Vol. 139
, No. 9
, 09
1979
, pp. 1046
-1047
.13.
Bell
, W. R.
, “Hematologic Abnormalities In Pregnancy
,” Medical Clinics of North America
0025-7125, Vol. 61
, No. 1
, 01
1977
, pp. 165
-189
.14.
Tooke
, J. E.
and McNicol
, G. P.
, “Thrombotic Disorders Associated With Pregnancy and the Pill
,” Clinics in Haematology
, Vol. 10
, No. 2
, 06
1981
, pp. 613
-630
.15.
Salem
, D. N.
, Isner
, J. M.
, Hopkins
, P.
, and Konstam
, M. A.
, “Ergonovine Provocation In Post Partum Myocardial Infarction
,” Angiology, Journal of Vascular Diseases
, Vol. 35
, No. 2
, 02
1984
, pp. 110
-114
.16.
Diro
, M.
, Beydovm
, S. N.
, Jaramillo
, B.
, O'Sullivan
, M. J.
, and Kieral
, J.
, “Successful Pregnancy In a Woman With a Left Ventricular Cardiac Aneurysm
,” The Journal of Reproductive Medicine
, Vol. 28
, No. 8
, 08
1983
, pp. 559
-562
.17.
Lewis
, J. F.
, “Myocardial Infarction During Pregnancy With Associated Myocardial Bacteroides Abscess
,” Southern Medical Journal
0038-4348, Vol. 66
, No. 3
, 03
1973
, pp. 379
-381
.18.
Restrepo
, C.
, Guzman
, M. A.
, Eggen
, D. A.
, and Strong
, J. P.
, “Pregnancy and Atherosclerosis
,” Atherosclerosis
0021-9150, Vol. 15
, 1972
, pp. 371
-382
.
This content is only available via PDF.
All rights reserved. This material may not be reproduced or copied, in whole or in part, in any printed, mechanical, electronic, film, or other distribution and storage media, without the written consent of ASTM International.
You do not currently have access to this content.