Prinzmetal’s Angina in a Pregnant Woman: a Case Report

Acute myocardial infarction (MI) during pregnancy is rare and MI due to Prinzmetal’s angina is much rarer. We present a 35-year-old, obese, multigravida, and pre-eclamptic woman, who developed acute anterior wall MI at the 30th week of gestation. On coronary angiography, the second obtuse marginal b...

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Detalles Bibliográficos
Autores principales: Almassinokiani, Fariba, Alebouyeh, Mahmood Reza, Entesari, Farshad, Sezavar Seyedi, Seyed Hashem, Almasi, Alireza, Akbari, Hossein, Saidi, Hossein, Homam, Homa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Tehran University of Medical Sciences 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3466900/
https://www.ncbi.nlm.nih.gov/pubmed/23074644
Descripción
Sumario:Acute myocardial infarction (MI) during pregnancy is rare and MI due to Prinzmetal’s angina is much rarer. We present a 35-year-old, obese, multigravida, and pre-eclamptic woman, who developed acute anterior wall MI at the 30th week of gestation. On coronary angiography, the second obtuse marginal branch was totally occluded and the right coronary artery (RCA) was normal. Three days later, she had chest pain and ST elevation in the inferior leads. On second angiography, there was narrowing in the RCA, while the obtuse marginal branch was patent. We presume that this discrepancy between the first and second electrocardiograms and angiographic findings was due to Prinzmetal’s angina.

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