Coulson C C, Kuller J A, Bowes W A
Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill 27599-7570, USA.
Am J Perinatol. 1995 Sep;12(5):328-30. doi: 10.1055/s-2007-994487.
Myocardial infarction associated with pregnancy is a relatively rare event, usually related to maternal risk factors for ischemic heart disease such as hypertension and diabetes mellitus. Coronary artery dissection represents an even more uncommon event and generally occurs in peripartum women without predisposing risk factors. A 31-year-old patient's postpartum course was complicated by the development of probable acute fatty liver of pregnancy followed by myocardial infarction and coronary artery dissection. The acute fatty liver of pregnancy and the cardiac event in our patient may both be vasospastic events related to vascular hypersensitivity.
与妊娠相关的心肌梗死是一种相对罕见的事件，通常与缺血性心脏病的母体危险因素有关，如高血压和糖尿病。冠状动脉夹层是一种更为罕见的事件，一般发生在无 predisposing 危险因素的围产期妇女中。一名31岁患者的产后病程因可能发生的妊娠急性脂肪肝，随后并发心肌梗死和冠状动脉夹层而复杂化。我们患者的妊娠急性脂肪肝和心脏事件可能都是与血管超敏反应相关的血管痉挛事件。 （注：这里“predisposing”可能是“易患的”意思，但原文表述不太准确，准确翻译可能需结合更多背景信息进一步判断）
