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Ginekologia i Położnictwo medical project
ISSN 1896-3315 e-ISSN 1898-0759

Myocardial infarction in pregnancy ? a case study


Abstract

Author(s): AGNIESZKA LEDNIOWSKA1, JANUSZ PROKOPCZUK2, JAROSŁAW KAROŃ1,STEFAN SAMBORSKI2, JAROSŁAW STACHURA2

Myocardial infarction in pregnant women is a highly rare occurrence. In recent years itsincidence has risen significantly, which is related, among other things, to late motherhood,development of assisted reproductive technologies which permit pregnancy in women ofincreasingly older age, and increasing incidence of coronary artery disease in young people.Myocardial infarction occurs most frequently in pregnant women after 33. in multiparouswomen, in the 3rd trimester of pregnancy, and affects the anterior wall. The 2003 Europeanand American guidelines recommend treatment of myocardial infarction in pregnant womenby coronary artery angioplasty. Due to the high mortality of pregnant women and foetuses,interdisciplinary care should be provided by a team of doctors and nurses.The authors present the case of a 42-year-old woman after an anterior myocardial wall infarc-tion, who had another episode in the 28th week of pregnancy.