Cargando…

Acute Coronary Syndrome in Pregnancy and the Post-Partum Period

Cardiovascular disease is the leading cause of maternal mortality in the United States. Acute coronary syndrome (ACS) is more common in pregnant women than in non-pregnant controls and contributes to the burden of maternal mortality. This review highlights numerous etiologies of chest discomfort dur...

Descripción completa

Detalles Bibliográficos
Autores principales: O’Kelly, Anna C., Ludmir, Jonathan, Wood, Malissa J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9319853/
https://www.ncbi.nlm.nih.gov/pubmed/35877560
http://dx.doi.org/10.3390/jcdd9070198
_version_ 1784755651541467136
author O’Kelly, Anna C.
Ludmir, Jonathan
Wood, Malissa J.
author_facet O’Kelly, Anna C.
Ludmir, Jonathan
Wood, Malissa J.
author_sort O’Kelly, Anna C.
collection PubMed
description Cardiovascular disease is the leading cause of maternal mortality in the United States. Acute coronary syndrome (ACS) is more common in pregnant women than in non-pregnant controls and contributes to the burden of maternal mortality. This review highlights numerous etiologies of chest discomfort during pregnancy, as well as risk factors and causes of ACS during pregnancy. It focuses on the evaluation and management of ACS during pregnancy and the post-partum period, including considerations when deciding between invasive and non-invasive ischemic evaluations. It also focuses specifically on the management of post-myocardial infarction complications, including shock, and outlines the role of mechanical circulatory support, including veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Finally, it offers additional recommendations for navigating delivery in women who experienced pregnancy-associated myocardial infarction and considerations for the post-partum patient who develops ACS.
format Online
Article
Text
id pubmed-9319853
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-93198532022-07-27 Acute Coronary Syndrome in Pregnancy and the Post-Partum Period O’Kelly, Anna C. Ludmir, Jonathan Wood, Malissa J. J Cardiovasc Dev Dis Review Cardiovascular disease is the leading cause of maternal mortality in the United States. Acute coronary syndrome (ACS) is more common in pregnant women than in non-pregnant controls and contributes to the burden of maternal mortality. This review highlights numerous etiologies of chest discomfort during pregnancy, as well as risk factors and causes of ACS during pregnancy. It focuses on the evaluation and management of ACS during pregnancy and the post-partum period, including considerations when deciding between invasive and non-invasive ischemic evaluations. It also focuses specifically on the management of post-myocardial infarction complications, including shock, and outlines the role of mechanical circulatory support, including veno-arterial extracorporeal membrane oxygenation (VA-ECMO). Finally, it offers additional recommendations for navigating delivery in women who experienced pregnancy-associated myocardial infarction and considerations for the post-partum patient who develops ACS. MDPI 2022-06-23 /pmc/articles/PMC9319853/ /pubmed/35877560 http://dx.doi.org/10.3390/jcdd9070198 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
O’Kelly, Anna C.
Ludmir, Jonathan
Wood, Malissa J.
Acute Coronary Syndrome in Pregnancy and the Post-Partum Period
title Acute Coronary Syndrome in Pregnancy and the Post-Partum Period
title_full Acute Coronary Syndrome in Pregnancy and the Post-Partum Period
title_fullStr Acute Coronary Syndrome in Pregnancy and the Post-Partum Period
title_full_unstemmed Acute Coronary Syndrome in Pregnancy and the Post-Partum Period
title_short Acute Coronary Syndrome in Pregnancy and the Post-Partum Period
title_sort acute coronary syndrome in pregnancy and the post-partum period
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9319853/
https://www.ncbi.nlm.nih.gov/pubmed/35877560
http://dx.doi.org/10.3390/jcdd9070198
work_keys_str_mv AT okellyannac acutecoronarysyndromeinpregnancyandthepostpartumperiod
AT ludmirjonathan acutecoronarysyndromeinpregnancyandthepostpartumperiod
AT woodmalissaj acutecoronarysyndromeinpregnancyandthepostpartumperiod