Beary J F, Summer W R, Bulkley B H
Am J Cardiol. 1979 Jan;43(1):158-61. doi: 10.1016/0002-9149(79)90058-4.
Two women who had an acute myocardial infarction during the early postpartum period are described, and the findings in nine other women previously reported on are summarized. Attention is called to the atypical nature of ischemic heart disease and myocardial infarction in these patients when compared with myocardial infarction during pregnancy and with ischemic heart disease in men. Postpartum infarcts most often occur in women in their 20s during their first pregnancy, frequently a pregnancy complicated by the preeclampsia-eclampsia syndrome, and are associated with a high mortality rate. In one of our patients and one patient previously reported on, the results of coronary arteriography were normal, suggesting that coronary arterial thromboembolism or spasm was a cause of the infarction. Because postpartum myocardial infarction may be unrelated to atherosclerotic narrowing, detailed angiographic studies in such patients appear warranted. These cases indicate the variety and complexity of ischemic heart disease in women.
本文描述了两名在产后早期发生急性心肌梗死的女性，并总结了之前报道的其他九名女性的研究结果。文中指出，与孕期心肌梗死及男性缺血性心脏病相比，这些患者的缺血性心脏病和心肌梗死具有非典型性。产后梗死最常发生于20多岁初孕的女性，且常伴有先兆子痫 - 子痫综合征，死亡率较高。在我们的一名患者及之前报道的一名患者中，冠状动脉造影结果正常，提示冠状动脉血栓栓塞或痉挛可能是梗死的原因。由于产后心肌梗死可能与动脉粥样硬化性狭窄无关，因此对这类患者进行详细的血管造影研究似乎很有必要。这些病例表明了女性缺血性心脏病的多样性和复杂性。
