Sperry K L
Office of the Medical Investigator for the State of New Mexico, Albuquerque.
J Forensic Sci. 1987 Sep;32(5):1464-70.
Myocardial infarction occurring during pregnancy or the puerperium is a rare condition, occurring in about 1 per 10,000 deliveries, and carries a mortality of approximately 30%. As a consequence of its rarity, symptoms of impending infarction may be easily mistaken by physicians for much more common and innocuous conditions, especially those (such as gastroesophageal reflux) typically associated with pregnancy. Two cases of infarction in pregnant women are presented, with a discussion of risk factors which may predispose towards development of coronary artery disease or thrombosis in this population. Other, more uncommon, causes of myocardial infarction during pregnancy are also addressed.
妊娠期间或产褥期发生的心肌梗死是一种罕见疾病,发生率约为每10000例分娩中有1例,死亡率约为30%。由于其罕见性,即将发生梗死的症状很容易被医生误诊为更常见且无害的情况,尤其是那些(如胃食管反流)通常与妊娠相关的情况。本文介绍了两例孕妇心肌梗死病例,并讨论了可能使该人群易患冠状动脉疾病或血栓形成的危险因素。还探讨了妊娠期间心肌梗死的其他更罕见病因。