妊娠期间因冠状动脉痉挛导致的急性ST段抬高型心肌梗死：一例病例报告及文献复习

Acute ST elevation myocardial infarction in pregnancy due to coronary vasospasm: a case report and review of literature.

作者信息

Iadanza Alessandro, Del Pasqua Alessia, Barbati Riccardo, Carrera Arcangelo, Gentilini Rodolfo, Favilli Roberto, Pierli Carlo

出版信息

Int J Cardiol. 2007 Jan 31;115(1):81-5. doi: 10.1016/j.ijcard.2006.01.016.

DOI:10.1016/j.ijcard.2006.01.016

PMID:16766060

Abstract

Acute myocardial infarction during pregnancy is rare but may be associated with high risk complications. We present a very rare case about an acute myocardial infarction with anterior ST elevation in a 40-year-old woman, at 38th week of gestational period. The coronary arteriograms showed a diffuse left coronary vasospasm. The coronary arteriography at puerperium showed no organic narrowings. This is the first case with a well documented coronary artery vasospasm in pregnancy. Management should follow the usual principles of care for acute myocardial infarction. However, selection of diagnostic and therapeutic approaches may be greatly influenced by fetal safety.

摘要

妊娠期急性心肌梗死罕见，但可能伴有高风险并发症。我们报告一例非常罕见的病例，一名40岁女性在妊娠38周时发生急性前壁ST段抬高型心肌梗死。冠状动脉造影显示弥漫性左冠状动脉痉挛。产褥期冠状动脉造影显示无器质性狭窄。这是妊娠期间有充分记录的冠状动脉痉挛的首例病例。治疗应遵循急性心肌梗死的常规护理原则。然而，诊断和治疗方法的选择可能会受到胎儿安全的极大影响。