Diakite Souleymane, Radi Fatima Zohra, Zarzur Jamila, Cherti Mohamed
Departement of Cardiology B, CHU Ibn Sina, Mohamed V University Rabat, Rabat, Morocco.
Pan Afr Med J. 2019 Sep 12;34:27. doi: 10.11604/pamj.2019.34.27.18614. eCollection 2019.
The occurrence of myocardial ischemia and myocardial infarction in pregnancy is relatively rare, the occurrence of myocardial infarction in pregnancy is associated with cardiovascular risk factors. The deficiency of coagulation regulatory systems in the occurrence of venous thrombosis is well established; however, their role in arterial thrombosis is controversial. Here, we present an interesting case of a 34-year-old of acute myocardial syndrome without persistent ST segment elevation, which revealed transient protein S deficiency. Management of acute coronary syndrome (ACS) during pregnancy may represent a unique clinical challenge. In this manuscript, we review the clinical presentation, anatomic considerations, and management strategy in our patient presenting with ACS. Objective: this case highlights the importance of multimodality approach to help to obtain a more timely diagnosis of myocardial infarction in pregnancy and the importance collaboration between obstetricians, cardiologists, pediatricians and anesthesiologists to ensure optimal care.
妊娠期心肌缺血和心肌梗死的发生相对少见，妊娠期心肌梗死的发生与心血管危险因素有关。凝血调节系统缺陷在静脉血栓形成中的作用已得到充分证实；然而，它们在动脉血栓形成中的作用存在争议。在此，我们报告一例有趣的病例，一名34岁女性患有无持续性ST段抬高的急性心肌综合征，该病例显示存在短暂性蛋白S缺乏。妊娠期急性冠状动脉综合征（ACS）的管理可能是一项独特的临床挑战。在本手稿中，我们回顾了我们这位患有ACS患者的临床表现、解剖学考虑因素及管理策略。目的：该病例强调了多模式方法对于帮助更及时诊断妊娠期心肌梗死的重要性，以及产科医生、心脏病专家、儿科医生和麻醉师之间合作对于确保最佳治疗的重要性。
