MYOCARDIAL-INFARCTION AND CORONARY-ARTERY DISSECTION IN PREGNANCY

被引：14

作者：

COULSON, CC ^{[1
]}

KULLER, JA ^{[1
]}

BOWES, WA ^{[1
]}

机构：

[1] UNIV N CAROLINA,SCH MED,DEPT OBSTET & GYNECOL,DIV MATERNAL FETAL MED,CHAPEL HILL,NC 27599

来源：

AMERICAN JOURNAL OF PERINATOLOGY | 1995年 / 12卷 / 05期

关键词：

MYOCARDIAL INFARCTION; CORONARY ARTERY DISSECTION; FATTY LIVER OF PREGNANCY; VASCULAR HYPERSENSITIVITY;

D O I：

10.1055/s-2007-994487

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Myocardial infarction associated with pregnancy is a relatively rare event, usually related to maternal risk factors for ischemic heart disease such as hypertension and diabetes mellitus. Coronary artery dissection represents an even more uncommon event and generally occurs in peripartum women without predisposing risk factors. A 31-year-old patient's postpartum course was complicated by the development of probable acute fatty liver of pregnancy followed by myocardial infarction and coronary artery dissection. The acute fatty liver of pregnancy and the cardiac event in our patient may both be vasospastic events related to vascular hypersensitivity.

引用

页码：328 / 330

页数：3

共 18 条

[1] Thorp J.M., Chesrheir N.C., Fann B., Postpartum myocardial infarction in a patient with antiphospholipid syndrome, Am J Perinatal, 11, pp. 1-3, (1994)
[2] Parry G., Gourievenos J., Williams D.O., Coronary thrombosis postpartum in a young woman with Still's disease, Clin Cardiol, 15, pp. 305-307, (1992)
[3] Nolan T.E., Savage R.W., Peripartum myocardial infarction from presumed Kawasaki's disease, South Med J, 83, pp. 1360-1361, (1990)
[4] Liu S.S., Forrester R.M., Murphy G.S., Et al., Anesthetic management of a parturient with myocardial infarction related to cocaine use, Can J Anaesth, 39, pp. 858-861, (1992)
[5] Ottman E.H., Gall S.A., Myocardial infarction in the third trimester of pregnancy secondary to an aortic valve thrombus, Obstet Gynecol, 81, pp. 804-805, (1993)
[6] Jessurun C.R., Adam K., Moise K.J., Wilansky S., Pheochromocytoma-induced myocardial infarction in pregnancy, Tex Heart Inst J, 20, pp. 120-122, (1993)
[7] Shaver P.J., Carrig T.F., Baker W.P., Postpartum coronary artery dissection, Br Heart J, 40, pp. 83-86, (1978)
[8] Jewclt J.F., Two dissecting coronary artery aneurysms postpartum, N Engl J Med, 298, pp. 1255-1256, (1978)
[9] Emori T., Goto Y., Maeda T., Et al., Multiple coronary artery dissections diagnosed in vivo in a pregnant woman, Chest, 104, pp. 289-290, (1993)
[10] Beary J.F., Summer W.R., Bulkley B.H., Postpartum acute myocardial infarction: a rare occurrence of uncertain etiology, Am J Cardiol, 43, pp. 158-161, (1979)

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