Treatment of acute myocardial infarction in pregnancy with coronary artery balloon angioplasty and stenting: Use of tirofiban and clopidogrel

被引:25
作者
Boztosun, Bilal [1 ]
Olcay, Ayhan [2 ]
Avci, Anil [1 ]
Kirma, Cevat [1 ]
机构
[1] Kartal Kosuyolu Heart Educ & Res Hosp, Dept Cardiol, Istanbul, Turkey
[2] TDV 29 Mayis Hosp, Dept Cardiol, Istanbul, Turkey
关键词
pregnancy; myocardial infarction; clopidogrel; stent;
D O I
10.1016/j.ijcard.2007.04.174
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Acute myocardial infarction (AMI) in pregnancy is rare and has a high mortality rate of 37-50%. The most important risk factors are advanced maternal age, hypertension and diabetes mellitus. Although thrombolytic therapy, percutaneous transluminal coronary angioplasty (PTCA) and coronary artery by-pass grafting can be performed, primary PTCA and antiplatelet agents have recently improved prognosis. We here present a case of AMI in a 43 year old woman in the 20th week of pregnancy treated successfully with aspirin, clopidogrel and intracoronary stenting without any complications. (C) 2007 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:413 / 416
页数:4
相关论文
共 12 条
[1]   CLINICAL-EXPERIENCE WITH UROKINASE IN INTRACORONARY THROMBOLYSIS [J].
CERNIGLIARO, C ;
SANSA, M ;
CAMPI, A ;
BONGO, AS ;
ROSSI, P .
CLINICAL CARDIOLOGY, 1987, 10 (04) :222-230
[2]   THROMBOLYTIC THERAPY FOR PULMONARY-EMBOLISM IN PREGNANCY - A CASE-REPORT [J].
DELCLOS, GL ;
DAVILA, F .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1986, 155 (02) :375-376
[3]  
Eickman FM, 1996, CATHETER CARDIO DIAG, V38, P369, DOI 10.1002/(SICI)1097-0304(199608)38:4<369::AID-CCD10>3.0.CO
[4]  
2-A
[5]  
GINZ B, 1970, Journal of Obstetrics and Gynaecology of the British Commonwealth, V77, P610
[6]  
HANKINS GDV, 1985, OBSTET GYNECOL, V65, P139
[7]   Acute ST elevation myocardial infarction in pregnancy due to coronary vasospasm: A case report and review of literature [J].
Iadanza, Alessandro ;
Del Pasqua, Alessia ;
Barbati, Riccardo ;
Carrera, Arcangelo ;
Gentilini, Rodolfo ;
Favilli, Roberto ;
Pierli, Carlo .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2007, 115 (01) :81-85
[8]   Acute myocardial infarction in pregnancy - A United States population-based study [J].
James, AH ;
Jamison, MG ;
Biswas, MS ;
Brancazio, LR ;
Swamy, GK ;
Myers, ER .
CIRCULATION, 2006, 113 (12) :1564-1571
[9]   Myocardial infarction in pregnant women - Case reports [J].
Janion, M. ;
Sielski, J. ;
Janion-Sadowska, A. .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2007, 121 (02) :207-209
[10]   Acute myocardial infarction in pregnancy and the puerperium: A population-based study [J].
Ladner, HE ;
Danielsen, B ;
Gilbert, WM .
OBSTETRICS AND GYNECOLOGY, 2005, 105 (03) :480-484