ACUTE MYOCARDIAL-INFARCTION DURING PREGNANCY CAUSED BY CORONARY-ARTERY SPASM

被引：10

作者：

MAEKAWA, K ^{[1
]}

OHNISHI, H ^{[1
]}

HIRASE, T ^{[1
]}

YAMADA, T ^{[1
]}

MATSUO, T ^{[1
]}

机构：

[1] HYOGO PREFECTURAL AWAJI HOSP,DEPT INTERNAL MED,SUMOTO,JAPAN

来源：

JOURNAL OF INTERNAL MEDICINE | 1994年 / 235卷 / 05期

关键词：

ACUTE MYOCARDIAL INFARCTION; CORONARY ARTERY SPASM; PREGNANCY;

D O I：

10.1111/j.1365-2796.1994.tb01108.x

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 33-year-old pregnant woman suffered from acute anteroseptal myocardial infarction at the 19th gestational week. Despite periodic attacks of myocardial ischaemia after admission, the coronary arteriograms under the use of nitroglycerin were normal. Thereafter, she remained free from the ischaemic events with diltiazem hydrochloride and delivered a healthy baby. The coronary arteriography at puerperium also showed no organic narrowing. However, the provocative test with acetylcholine chloride caused severe spasm of the left anterior descending coronary artery. These findings strongly suggest that acute myocardial infarction in this pregnant woman was caused by coronary artery spasm.

引用

页码：489 / 492

页数：4

共 18 条

[1] ISOLATED CORONARY PERIARTERITIS - REPORT OF A CASE OF UNEXPECTED DEATH IN A YOUNG PREGNANT WOMAN [J].

AHRONHEIM, JH .

AMERICAN JOURNAL OF CARDIOLOGY, 1977, 40 (02) :287-289

[2]

ASUNCION CM, 1972, OBSTET GYNECOL, V40, P202

[3]

BRUSCHKE AV, 1971, BRIT HEART J, V33, P585

[4]

Canning B S, 1969, J Obstet Gynaecol Br Commonw, V76, P1018

[5] ACUTE MYOCARDIAL-INFARCTION IN A PREGNANT WOMAN AT TERM [J].

COHEN, WR ;

STEINMAN, T ;

PATSNER, B ;

SNYDER, D ;

SATWICZ, P ;

MONROY, P .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1983, 250 (16) :2179-2181

[6]

DUKE M, 1982, CONN MED, V46, P626

[7] MYOCARDIAL-INFARCTION DURING PREGNANCY - A CASE-REPORT [J].

FRENKEL, Y ;

ETCHIN, A ;

BARKAI, G ;

REISIN, L ;

MASHIACH, S ;

BATTLER, A .

CARDIOLOGY, 1991, 78 (04) :363-368

[8]

HANKINS GDV, 1985, OBSTET GYNECOL, V65, P139

[9]

HIBBARD L T, 1975, Clinical Obstetrics and Gynecology, V18, P27, DOI 10.1097/00003081-197509000-00005

[10] ACUTE MYOCARDIAL-INFARCTION IN THE PUERPERIUM IN PATIENTS RECEIVING BROMOCRIPTINE [J].

IFFY, L ;

TENHOVE, W ;

FRISOLI, G .

AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1986, 155 (02) :371-372

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