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妊娠期急性冠状动脉综合征

Acute coronary syndrome in pregnancy.

作者信息

Wright Douglas, Kenny-Scherber Claire, Montgomery Alison, Salehian Omid

机构信息

Departments of Medicine.

出版信息

Clin Med Cardiol. 2009 Dec 8;3:125-31. doi: 10.4137/cmc.s3284.

DOI:10.4137/cmc.s3284
PMID:20508773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2872582/
Abstract

Acute coronary syndrome (ACS) in pregnancy has traditionally been considered to be a rare event, but the combination of normal physiological changes of pregnancy and more prevalent cardiovascular risk factors are increasing its incidence in this population. The present report describes a 39 year-old woman that is seven weeks pregnant presenting with a non ST elevation myocardial infarction. The incidence, risk factors, pathophysiology and management of ACS in pregnancy are discussed.

摘要

妊娠急性冠状动脉综合征（ACS）传统上被认为是一种罕见事件，但妊娠正常生理变化与更普遍的心血管危险因素相结合，正在增加该人群中其发病率。本报告描述了一名39岁、孕7周的女性，她表现为非ST段抬高型心肌梗死。文中讨论了妊娠ACS的发病率、危险因素、病理生理学及管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab74/2872582/3f6cd13ba998/cmc-2009-125f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab74/2872582/3f6cd13ba998/cmc-2009-125f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ab74/2872582/3f6cd13ba998/cmc-2009-125f1.jpg

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Cardiovascular studies and the radiation dose.心血管研究与辐射剂量。
Clin Cardiol. 2009 Feb;32(2):56-7. doi: 10.1002/clc.20592.
2
Statins are detrimental to human placental development and function; use of statins during early pregnancy is inadvisable.他汀类药物对人类胎盘发育和功能有害；孕期早期使用他汀类药物是不可取的。
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Acute myocardial infarction associated with pregnancy.与妊娠相关的急性心肌梗死
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Treatment of acute myocardial infarction in pregnancy with coronary artery balloon angioplasty and stenting: use of tirofiban and clopidogrel.冠状动脉球囊血管成形术和支架置入术治疗妊娠期急性心肌梗死：替罗非班和氯吡格雷的应用
Int J Cardiol. 2008 Jul 21;127(3):413-6. doi: 10.1016/j.ijcard.2007.04.174. Epub 2007 Jul 25.
8
Antiplatelet agents for prevention of pre-eclampsia: a meta-analysis of individual patient data.抗血小板药物预防子痫前期：个体患者数据的荟萃分析
Lancet. 2007 May 26;369(9575):1791-1798. doi: 10.1016/S0140-6736(07)60712-0.
9
The use of unfractionated heparin and low molecular weight heparins in pregnancy.普通肝素和低分子量肝素在孕期的应用。
Clin Obstet Gynecol. 2006 Dec;49(4):895-905. doi: 10.1097/01.grf.0000211958.45874.63.
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