Acute myocardial infarction complicated pregnancy of patient after kindey transplantation and knee osteosarcoma
Authors:
K. Lehnertová; K. Huml; R. Pilka
Authors‘ workplace:
Porodnicko-gynekologická klinika FN a LF UP, Olomouc, přednosta prof. MUDr. R. Pilka, Ph. D.
Published in:
Ceska Gynekol 2016; 81(5): 389-393
Overview
Objective:
Case report describes a patient with acute ST elevation myocardial infarction with Q wave in 26 weeks gestation.
Design:
Case report.
Setting:
Department of Obstetrics and Gynecology, University Hospital, Palacky University, Olomouc.
Case report:
Medical history is complicated with a cadaveric transplantation of kindey, osteosarcoma of the left knee with a joint extraction and chemotherapy, serious hypothyreosis after spontaneous discontinuation of medication and missing fetal nasal bone at the ultrasound examination.
Conclusion:
Myocardial infarction complicating pregnancy is an important cause of maternal morbidity and mortality. The coexistence of obesity, diabetes, chronic hypertension, and delayed age at pregnancy is expected to increase the prevalence of myocardial infarction during pregnancy. Timely treatment in the form of percutaneous coronary intervention has dramatically improved outcomes.
Keywords:
acute myocardial infarction, pregnancy
Sources
1. Acsarelli, MH, Grider, AR, Hsu, HW. Acute myocardial infarction during pregnancy managed with immediate percutaneoustransluminal coronary angioplasty. Obstet Gynecol., 1996, 88, p. 655–657.
2. Bednářová, J., Červinka, P., Dražka, J. Kobíčková. Akutní infark mokardu těhotné ženy s rizikovým chováním. Intervenční a akutní kardiologie, 2004,3, s. 205–206.
3. Binder, T. Kardiovaskulární a plicní onemocnění v těhotenství. In Hájek a kol. Rizikové a patologické těhotenství. Praha, Grada publishing, 2004, s. 89–124.
4. Briggs, GG., Freeman, RK., Yaffe, SJ. Drugs in pregnancy and lactation: a reference guide to fetal and neonatal. 7th ed. Philadelphia, PA: Lippincott Williams, 2005.
5. Ecker, JL., Frigoletto Jr, FD. Cesarean delivery and the risk–benefit calculus. N Engl J Med, 2007, 356, 9, p. 885–888.
6. Hartel, D., Sorges, E., Carlsson, J., et al. Myocardial infarction and thromboembolism during pregnancy. Herz, 2003, 28, p. 174–184.
7. Imperiale, TF., Stollenwerk Petrulis, A. A meta-analysis of low-dose aspirin for the prevention of pregnancy-induced hypertensive disease. JAMA, 1991, 266,2, p. 260–264.
8. James, AH., Jamison, MG., Biswas, MS., et al. Acute myocardial infarction in pregnancy: a United States population-based study. Circulation, 2006, 113(12), p. 1564–1571.
9. Kamran, M., Suresh, V., Ahluwalia, A. Percutaneous transluminal coronary angioplasty (PTCA) combined with stenting for acute myocardial infarction in pregnancy. J Obstet Gynaecol, 2004, 24(6), p. 701–702.
10. Kauffman, RE., Banner, W., Berlin, CM., et al. The transfer of drugs and other chemicals into human milk. Pediatrics, 1994, 93(1), p. 137–150.
11. Klinzing, P., Markert, UR., Liesaus, K., Peiker, G. Case report: successful pregnancy and delivery after myocardial infarction and essential thrombocythemia treated with clopidrogel. Clin Experiment Obstet Gynecol, 2000, 28,4, p. 215–216.
12. Král, J. Vybraná kardiologická onemocnění v těhotenství. Kardiologická revue interní medicína, 10(2), s. 62–65.
13. Ladner, HE., Danielson, B., Gilbert, WM. Acute myocardial infarction in pregnancy and the puerperium: a pupolation-based study. Obstet Gynecol, 2005, 105(3), p. 480–484.
14. Magee, LA, Elran, E, Bull, SB, Logan, A, Koren, G. Risks and benefits of betareceptor blockers for pregnancy hypertension: overview of the randomized trials. Eur J Obstet Gynecol Reprod Biol, 2000, 88(1), p. 15–26.
15. Qasqas, SA., McPherson, C., Frishman, WH., Elkayam, U. Cardiovascular pharmacotherapeutic considerations during pregnancy and lactation. Cardiol Rev, 2004, 12, 4, p. 201-221.
16. Qasqas, SA., McPherson, C., Frishman, WH., Elkayam, U. Cardiovascular pharmacotherapeutic considerations during pregnancy and lactation. Cardiol Rev, 2004, 12(5), p. 240–261.
17. Roth, A, Elkayam, U. Acute myocardial infarction associated with pregnancy. J Amer Coll Cardiol, 2008, 52(3), p. 171–180.
18. Shah, P., Dzavik, V., Cusimano, RJ., et al. Spontaneous dissection of the left main coronary artery. Canad J Cardiol, 2004, 20, 8, p. 815–818.
19. Shotan, A, Widerhorn, J., Hurst, A., Elkayam, U. Risks of angiotensin-converting enzyme inhibition during pregnancy: experimental and clinical evidence, potential mechanisms, and recommendations for use. Amer J Med, 1994, 96(5), p. 451–456.
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