Roth Arie, Elkayam Uri
Department of Cardiology Tel Aviv Sourasky Medical Center, Tel Aviv University Sackler School of Medicine, Tel Aviv, Israel.
J Am Coll Cardiol. 2008 Jul 15;52(3):171-80. doi: 10.1016/j.jacc.2008.03.049.
Acute myocardial infarction (AMI) during pregnancy or the early post-partum period is rare but has been shown to be associated with poor maternal as well as fetal outcome. Major changes in both diagnosis and treatment of AMI in the nonpregnant patient have lead to improved outcome which may also affect pregnant patients. The purpose of this paper is to review available information related to the pathophysiology and clinical profile and provide recommendations for the diagnosis and management of AMI occuring during pregnancy and the early post-partum period.
妊娠期间或产后早期发生的急性心肌梗死（AMI）较为罕见，但已证实与孕产妇及胎儿不良结局相关。非妊娠患者AMI的诊断和治疗发生了重大变化，这已带来了更好的结局，这可能也会影响妊娠患者。本文旨在综述与病理生理学和临床特征相关的现有信息，并为妊娠期间及产后早期发生的AMI的诊断和管理提供建议。
