Pietilä Mikko, Ylitalo Antti, Airaksinen Juhani
TYKS, sisätautien klinikka.
Duodecim. 2012;128(5):514-7.
Acute myocardial infarction during pregnancy is a rare but potentially fatal complication. We describe a 43-year-old patient with non-ST-segment elevation myocardial infarction during late pregnancy. She underwent coronary angiography but was treated conservatively after an occlusion of mid-size left oblique marginal branch was observed. During pregnancy many medications normally used in the setting of acute coronary syndrome are contraindicated and use of radiation should be minimized. Thus treatment of acute coronary syndrome must be carefully tailored in this patient group.
妊娠期急性心肌梗死是一种罕见但可能致命的并发症。我们描述了一名43岁的患者，在妊娠晚期发生非ST段抬高型心肌梗死。她接受了冠状动脉造影，但在观察到左斜缘中间支闭塞后接受了保守治疗。在妊娠期，许多通常用于急性冠状动脉综合征的药物是禁忌的，并且应尽量减少辐射的使用。因此，对于这一患者群体，急性冠状动脉综合征的治疗必须谨慎制定。
