Case Report

Anterior Myocardial Infarction in Late Pregnancy: A Case Report


Myocardial infarction (MI) in pregnancy is a rare and critical topic. In time diagnosis and management is mandatory for preventing both mother and fetus from possible mortality and morbidities. Both traditional cardiovascular risk factor and some factors which are present during pregnancy are related to MI during pregnancy. Management of ST-segment elevation MI during pregnancy is almost the same as other women. In the present report, we have discussed a case of anterior ST-segment elevation MI during the late third trimester of pregnancy, which ended up in a successful vaginal delivery. However, in the post-partum period, the patient developed severe bleeding and uterine atony, which was managed medically and with the massage.

1.James AH, Jamison MG, Biswas MS, Brancazio LR, Swamy GK, Myers ER. Acute myocardial infarction in pregnancy: a United States population-basedstudy. Circulation 2006;113:1564-71.2.Wuntakal R, Shetty N, Ioannou E, Sharma S, Kurian J. Myocardial infarction and pregnancy. Obstet Gynaecol2013;15:247-55.3.Kennedy BB, Baird SM. Acute Myocardial Infarction in Pregnancy. J Perinat Neonatal Nurs2016;30:13-24.4.Pacheco LD, Saade GR, Hankins GD. Acute myocardial infarction during pregnancy. Clin Obstet Gynecol2014;57:835-43.5.Ismail S, Wong C, Rajan P, Vidovich MI. STā€elevation acute myocardial infarction in pregnancy: 2016update. Clin Cardiol2017;40:399-406.6.Regitz-Zagrosek V, Blomstrom Lundqvist C, Borghi C, Cifkova R, Ferreira R, Foidart JM, et al. ESC Guidelines on the management of cardiovascular diseases during pregnancy: the Task Force on the Management of Cardiovascular Diseases during Pregnancy ofthe European Society of Cardiology (ESC). Eur Heart J2011;32:3147-97.7.Gartman EJ. The use of thrombolytic therapy in pregnancy. Obstet Med2013;6:105-11.
IssueVol 58, No 6 (2020) QRcode
SectionCase Report(s)
Pregnancy Myocardial infarction Angiography Post-partum

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How to Cite
Mirzaeian S, Pourhoseini SA, Sakhaee MH, Jafarzadeh Esfehani R. Anterior Myocardial Infarction in Late Pregnancy: A Case Report. Acta Med Iran. 58(6):294-296.