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Acute myocardial infarction in twin pregnancy after assisted reproduction: A case report
BACKGROUND: Acute myocardial infarction (AMI) during pregnancy is rare, especially in twin pregnancy, and it can endanger the lives of the mother and children. Except for conventional cardiovascular risk factors, pregnancy and assisted reproduction can increase the risk of AMI during pregnancy. AMI...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Baishideng Publishing Group Inc
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8173408/ https://www.ncbi.nlm.nih.gov/pubmed/34141793 http://dx.doi.org/10.12998/wjcc.v9.i17.4294 |
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author | Dai, Ni-Ni Zhou, Rong Zhuo, Yan-Ling Sun, Li Xiao, Ming-Yue Wu, Si-Jing Yu, Hai-Xu Li, Qiu-Yu |
author_facet | Dai, Ni-Ni Zhou, Rong Zhuo, Yan-Ling Sun, Li Xiao, Ming-Yue Wu, Si-Jing Yu, Hai-Xu Li, Qiu-Yu |
author_sort | Dai, Ni-Ni |
collection | PubMed |
description | BACKGROUND: Acute myocardial infarction (AMI) during pregnancy is rare, especially in twin pregnancy, and it can endanger the lives of the mother and children. Except for conventional cardiovascular risk factors, pregnancy and assisted reproduction can increase the risk of AMI during pregnancy. AMI develops secondary to different etiologies, such as coronary spasm and spontaneous coronary artery dissection. CASE SUMMARY: A 33-year-old woman, with twin pregnancy in the 31(st) week of gestation, presented to the hospital with intermittent chest tightness for 12 wk, aggravation for 1 wk, and chest pain for 4 h. Combined with the electrocardiogram and hypersensitive troponin results, she was diagnosed with acute ST-elevation myocardial infarction. Although the patient had no related medical history, she presented several risk factors, such as age greater than 30 years, assisted reproduction, and hyperlipidemia. After diagnosis, the patient received antiplatelet and anticoagulant treatment. Cesarean section and coronary angiography performed 7 d later showed stenosis and thrombus shadow of the right coronary artery. After receiving medication, the patient was in good condition. CONCLUSION: This case suggests that, with the widespread use of assisted reproductive technology, more attention should be paid to perinatal healthcare, especially when chest pain occurs, to facilitate early diagnosis and intervention of AMI, and the etiology of AMI in pregnancy needs to be differentiated, especially between coronary spasm and spontaneous coronary artery dissection. |
format | Online Article Text |
id | pubmed-8173408 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-81734082021-06-16 Acute myocardial infarction in twin pregnancy after assisted reproduction: A case report Dai, Ni-Ni Zhou, Rong Zhuo, Yan-Ling Sun, Li Xiao, Ming-Yue Wu, Si-Jing Yu, Hai-Xu Li, Qiu-Yu World J Clin Cases Case Report BACKGROUND: Acute myocardial infarction (AMI) during pregnancy is rare, especially in twin pregnancy, and it can endanger the lives of the mother and children. Except for conventional cardiovascular risk factors, pregnancy and assisted reproduction can increase the risk of AMI during pregnancy. AMI develops secondary to different etiologies, such as coronary spasm and spontaneous coronary artery dissection. CASE SUMMARY: A 33-year-old woman, with twin pregnancy in the 31(st) week of gestation, presented to the hospital with intermittent chest tightness for 12 wk, aggravation for 1 wk, and chest pain for 4 h. Combined with the electrocardiogram and hypersensitive troponin results, she was diagnosed with acute ST-elevation myocardial infarction. Although the patient had no related medical history, she presented several risk factors, such as age greater than 30 years, assisted reproduction, and hyperlipidemia. After diagnosis, the patient received antiplatelet and anticoagulant treatment. Cesarean section and coronary angiography performed 7 d later showed stenosis and thrombus shadow of the right coronary artery. After receiving medication, the patient was in good condition. CONCLUSION: This case suggests that, with the widespread use of assisted reproductive technology, more attention should be paid to perinatal healthcare, especially when chest pain occurs, to facilitate early diagnosis and intervention of AMI, and the etiology of AMI in pregnancy needs to be differentiated, especially between coronary spasm and spontaneous coronary artery dissection. Baishideng Publishing Group Inc 2021-06-16 2021-06-16 /pmc/articles/PMC8173408/ /pubmed/34141793 http://dx.doi.org/10.12998/wjcc.v9.i17.4294 Text en ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/ |
spellingShingle | Case Report Dai, Ni-Ni Zhou, Rong Zhuo, Yan-Ling Sun, Li Xiao, Ming-Yue Wu, Si-Jing Yu, Hai-Xu Li, Qiu-Yu Acute myocardial infarction in twin pregnancy after assisted reproduction: A case report |
title | Acute myocardial infarction in twin pregnancy after assisted reproduction: A case report |
title_full | Acute myocardial infarction in twin pregnancy after assisted reproduction: A case report |
title_fullStr | Acute myocardial infarction in twin pregnancy after assisted reproduction: A case report |
title_full_unstemmed | Acute myocardial infarction in twin pregnancy after assisted reproduction: A case report |
title_short | Acute myocardial infarction in twin pregnancy after assisted reproduction: A case report |
title_sort | acute myocardial infarction in twin pregnancy after assisted reproduction: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8173408/ https://www.ncbi.nlm.nih.gov/pubmed/34141793 http://dx.doi.org/10.12998/wjcc.v9.i17.4294 |
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