<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>Acute myocard infarct during pregnancy is a rare event with high mortality and women with cardiac comorbid such as hypercholesterolemia, hypertension, and history of myocardial infarction are one of risk that should be warning. However, the main etiology myocard infarct in pregnancy is spontaneous coronary artery dissection, especially in the third semester. Women with unusual chest pain, ST-elevation in electrocardiogram, and sudden cardiac arrest should treat as soon as possible. Patient with unstable condition revascularization is recommended. However, there are several things that should be monitor during revascularization such as consideration type of stent, how much contrast that will be use, and planning after stent implantation. Thrombolysis should be the last option because of bleeding risk. Therapy during and after pregnancy should be monitor continuously because of their side effect to mother and baby, and delivery in women with acute myocard infarct should be one of main concerns. With this review, we hope that we can raise our awareness in pregnant women with their comorbid and their future pregnancy.</p>
</abstract>

Acute myocard infarct during pregnancy is a rare event with high mortality and women with cardiac comorbid such as hypercholesterolemia, hypertension, and history of myocardial infarction are one of risk that should be warning. However, the main etiology myocard infarct in pregnancy is spontaneous coronary artery dissection, especially in the third semester. Women with unusual chest pain, ST-elevation in electrocardiogram, and sudden cardiac arrest should treat as soon as possible. Patient with unstable condition revascularization is recommended. However, there are several things that should be monitor during revascularization such as consideration type of stent, how much contrast that will be use, and planning after stent implantation. Thrombolysis should be the last option because of bleeding risk. Therapy during and after pregnancy should be monitor continuously because of their side effect to mother and baby, and delivery in women with acute myocard infarct should be one of main concerns. With this review, we hope that we can raise our awareness in pregnant women with their comorbid and their future pregnancy.

Myocardial Infarction in Pregnancy: What Should We Do?

Department of Cardiology and Vascular Medicine, Faculty of Medicine

Department of Cardiology and Vascular Medicine

South East European Journal of Cardiology

This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License.

{"article-title":"Myocardial Infarction in Pregnancy: What Should We Do?"}

Acute myocard infarct during pregnancy is a rare event with high mortality and women with cardiac comorbid such as hypercholesterolemia, hypertension, and...

Myocardial Infarction in Pregnancy: What Should We Do?

Published Online: Mar 12, 2024

Page range: 11 - 16

Received: Nov 17, 2023

Accepted: Dec 15, 2023

DOI: https://doi.org/10.3889/seejca.2024.6067

Keywords
Myocardial infarct, Management, Pregnancy, Spontaneous coronary artery dissection

© 2024 Sidhi Laksono et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License.

Myocardial Infarction in Pregnancy: What Should We Do?

Published Online: Mar 12, 2024

Page range: 11 - 16

Received: Nov 17, 2023

Accepted: Dec 15, 2023

DOI: https://doi.org/10.3889/seejca.2024.6067

KeywordsMyocardial infarct, Management, Pregnancy, Spontaneous coronary artery dissection

© 2024 Sidhi Laksono et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial 4.0 International License.

Keywords
Myocardial infarct, Management, Pregnancy, Spontaneous coronary artery dissection