摘要
Acute myocardial infarction in women during childbearing age is rare. We report a case of a 40-year-old female patient with no history or cardiovascular risk factors, 24-week</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">pregnant who presented with acute coronary syndrome with an ST-elevation anterior extended complicated by cardiogenic shock. Cardiac ultrasound showed systolic dysfunction of the left ventricle at 30%. Emergency coronary angiography revealed subocclusion of the proximal anterior interventricular artery. We performed a primary angioplasty with placement of a stent after balloon predilation with a satisfactory agiographic result and an improvement in the hemodynamic state. The patient gave birth by cesarean section at 30 weeks of pregnancy after a pocket rupture of infectious waters. The newborn died after 72 hours. After 6 years of evolution, the patient remained asymptomatic under medal treatment.
Acute myocardial infarction in women during childbearing age is rare. We report a case of a 40-year-old female patient with no history or cardiovascular risk factors, 24-week</span><span style="font-family:Verdana;"> </span><span style="font-family:Verdana;">pregnant who presented with acute coronary syndrome with an ST-elevation anterior extended complicated by cardiogenic shock. Cardiac ultrasound showed systolic dysfunction of the left ventricle at 30%. Emergency coronary angiography revealed subocclusion of the proximal anterior interventricular artery. We performed a primary angioplasty with placement of a stent after balloon predilation with a satisfactory agiographic result and an improvement in the hemodynamic state. The patient gave birth by cesarean section at 30 weeks of pregnancy after a pocket rupture of infectious waters. The newborn died after 72 hours. After 6 years of evolution, the patient remained asymptomatic under medal treatment.
作者
Farouk Boukerche
Adam Ahamat Ali
Nadia Laredj
Leila Hammou
Farouk Boukerche;Adam Ahamat Ali;Nadia Laredj;Leila Hammou(Cardiology Department, Oran University Hospital Center, Oran, Algeria;Faculty of Medicine, Oran, Algeria;Cardiology Department, Renaissance University Hospital Center, N’Djamena, Chad;Faculty of Human Health Sciences of N’Djamena, N’Djamena, Chad)
