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Acute infarction, intracoronary thrombolysis, and primary PTCA in pregnancy

1997; Wiley; Volume: 42; Issue: 1 Linguagem: Inglês

10.1002/(sici)1097-0304(199709)42

1097-0304

M. Diane Webber, Robert E. Halligan, James A. Schumacher,

Cardiac Structural Anomalies and Repair

Catheterization and Cardiovascular DiagnosisVolume 42, Issue 1 p. 38-43 Case Report Acute infarction, intracoronary thrombolysis, and primary PTCA in pregnancy M. Diane Webber MD, Corresponding Author M. Diane Webber MD Good Samaritan Regional Medical Center, Phoenix, ArizonaAffiliated Cardiologists of Arizona, 370 East Virginia, Suite 100, Phoenix, AZ 85004Search for more papers by this authorRobert E. Halligan MD, Robert E. Halligan MD Good Samaritan Regional Medical Center, Phoenix, ArizonaSearch for more papers by this authorJames A. Schumacher MD, James A. Schumacher MD Good Samaritan Regional Medical Center, Phoenix, ArizonaSearch for more papers by this author M. Diane Webber MD, Corresponding Author M. Diane Webber MD Good Samaritan Regional Medical Center, Phoenix, ArizonaAffiliated Cardiologists of Arizona, 370 East Virginia, Suite 100, Phoenix, AZ 85004Search for more papers by this authorRobert E. Halligan MD, Robert E. Halligan MD Good Samaritan Regional Medical Center, Phoenix, ArizonaSearch for more papers by this authorJames A. Schumacher MD, James A. Schumacher MD Good Samaritan Regional Medical Center, Phoenix, ArizonaSearch for more papers by this author First published: 06 December 1998 https://doi.org/10.1002/(SICI)1097-0304(199709)42:1 3.0.CO;2-ICitations: 23AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onEmailFacebookTwitterLinkedInRedditWechat Abstract Acute myocardial infarction has an incidence in pregnancy of 1 in 10,000, with a mortality ranging from 37–50%. Mortality is increased if the infarct occurs in the third trimester, if the patient is under age 35 yr, if she delivers within 2 wk of her infarct, and if she has a cesarean section. We present a case involving all four prognostically poor factors. The patient was treated emergently in the cardiac catheterization laboratory with intracoronary thrombolysis and primary PTCA of an occluded LAD. She had an uncomplicated recovery and subsequent delivery of a healthy child with no peripartum cardiac complications. A review of myocardial infarction in pregnancy follows. Cathet. Cardiovasc. Diagn. 42:38–43, 1997. © 1997 Wiley-Liss, Inc. References 1 Mabie W, Friere C: Sudden chest pain and cardiac emergencies in the obstetric patient. Obstet Gynecol Clin North Am 22: 19–37, 1995. 2 Ginz B: Myocardial infarction in pregnancy. J Obstet Gynaecol Br Commun 77: 610, 1970. 3 Hankins G, Wendel G, Leveno K, Stoneham J: Myocardial infarction during pregnancy: A review. 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