Buganza del Castillo A B, Von der Meden Alarcon W, García Leon J F, Muñuzuri Iñiguez F, Kabli Ambe A
Ginecología y Obstetricia Hospital ABC, México, D.F.
Ginecol Obstet Mex. 1993 Jul;61:187-9.
We present the case of a 39 year old woman with 36 weeks pregnancy and acute myocardial infarction seen at the Hospital ABC. Acute myocardial infarction during pregnancy is not very common and it's incidence has been calculated in 1:10,000 pregnancies it takes place more often during the third trimester, so we have to keep it in mind for early diagnosis. Mortality increases when it occurs during the third trimester close to delivery, during labor or in the first 7 days post delivery. Initial management of this high risk patients has to be done in a intensive care unit and requires of the intervention of multiple specialists, to decrease maternal and fetal mortality.
我们介绍了一名39岁、怀孕36周且在ABC医院被诊断为急性心肌梗死的女性病例。孕期急性心肌梗死并不常见，其发生率据计算为1:10000次妊娠，多发生在孕晚期，因此我们必须牢记以便早期诊断。当它发生在接近分娩的孕晚期、分娩期间或产后7天内时，死亡率会增加。这类高危患者的初始治疗必须在重症监护病房进行，且需要多个专科医生的介入，以降低母婴死亡率。
