The cardiac, obstetric, and anesthetic management of pregnancy complicated by acute myocardial infarction

Mark E. Hands, Mark D. Johnson, Daniel H. Saltzman, John D. Rutherford

Research output: Contribution to journalArticle

45 Scopus citations

Abstract

Myocardial infarction (MI) occurring during pregnancy is a rare but potentially lethal event for both mother and fetus, particularly when it occurs in the third trimester or peripartum period. The authors report two cases of MI occurring in the third trimester of pregnancy and review the literature. Management of the acute infarct and the medical, obstetric, and anesthetic considerations in such patients during labor and delivery are discussed. Successful use of percutaneous transluminal coronary angioplasty is described in a patient with evolving MI and ongoing pain. The preferred method of delivery in the pregnant MI patient is addressed, with emphasis on the need for individualization of care and coordination between the cardiac, obstetric, and anesthetic teams. Finally, the authors review the risks of subsequent pregnancy in this patient population.

Original languageEnglish (US)
Pages (from-to)258-268
Number of pages11
JournalJournal of Clinical Anesthesia
Volume2
Issue number4
DOIs
StatePublished - Jan 1 1990

Keywords

  • Myocardial infarction
  • analgesia
  • anesthesia
  • angioplasty
  • pregnancy

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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