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妊娠期急性心肌梗死

Acute Myocardial Infarction in Pregnancy.

作者信息

Kim Jitae A, Kim Sophie Y, Virk Hafeez Ul Hassan, Alam Mahboob, Sharma Samin, Johnson Mark R, Krittanawong Chayakrit

机构信息

From the Department of Cardiology, University of Buffalo, New York, NY.

Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center, El Paso, TX.

出版信息

Cardiol Rev. 2024 Feb 27. doi: 10.1097/CRD.0000000000000681.

Abstract

Pregnancy-associated myocardial infarction is an overall uncommon event, but can be associated with significant maternal and fetal morbidity and mortality. In contrast to myocardial infarction in the general nonpregnant population, the mechanism of pregnancy-associated myocardial infarction is most commonly due to nonatherosclerotic mechanisms such as coronary dissection, vasospasm, or thromboembolism. The diagnosis of pregnancy-associated myocardial infarction can be challenging, requiring a high index of suspicion for prompt recognition and management. Furthermore, the management of pregnancy-associated myocardial infarction can be complex due to maternal and fetal considerations and may vary based on the specific underlying mechanism of the myocardial infarction. This review aims to review the recent literature on pregnancy-associated myocardial infarction and summarize the epidemiology, mechanisms, diagnosis, and treatment strategies for this uncommon entity.

摘要

妊娠相关心肌梗死总体上是一种不常见的事件,但可伴有严重的母体和胎儿发病及死亡。与一般非妊娠人群的心肌梗死不同,妊娠相关心肌梗死的机制最常见的是由于非动脉粥样硬化机制,如冠状动脉夹层、血管痉挛或血栓栓塞。妊娠相关心肌梗死的诊断可能具有挑战性,需要高度的怀疑指数以便及时识别和处理。此外,由于母体和胎儿的因素,妊娠相关心肌梗死的处理可能很复杂,并且可能因心肌梗死的具体潜在机制而异。本综述旨在回顾关于妊娠相关心肌梗死的最新文献,并总结这种不常见疾病的流行病学、机制、诊断和治疗策略。

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