Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2024 Feb 27.
doi: 10.1097/CRD.0000000000000681. Online ahead of print.

Acute Myocardial Infarction in Pregnancy

Jitae A Kim  1 , Sophie Y Kim  2 , Hafeez Ul Hassan Virk  3 , Mahboob Alam  4 , Samin Sharma  5 , Mark R Johnson  6 , Chayakrit Krittanawong  7
Affiliations

Acute Myocardial Infarction in Pregnancy

Jitae A Kim et al. Cardiol Rev. .

Abstract

Pregnancy-associated myocardial infarction is an overall uncommon event, but can be associated with significant maternal and fetal morbidity and mortality. In contrast to myocardial infarction in the general nonpregnant population, the mechanism of pregnancy-associated myocardial infarction is most commonly due to nonatherosclerotic mechanisms such as coronary dissection, vasospasm, or thromboembolism. The diagnosis of pregnancy-associated myocardial infarction can be challenging, requiring a high index of suspicion for prompt recognition and management. Furthermore, the management of pregnancy-associated myocardial infarction can be complex due to maternal and fetal considerations and may vary based on the specific underlying mechanism of the myocardial infarction. This review aims to review the recent literature on pregnancy-associated myocardial infarction and summarize the epidemiology, mechanisms, diagnosis, and treatment strategies for this uncommon entity.

PubMed Disclaimer

Conflict of interest statement

Disclosure: The authors have no conflicts of interest to report.

References

    1. Berg CJ, Callaghan WM, Syverson C, et al. Pregnancy-related mortality in the United States, 1998 to 2005. Obstet Gynecol. 2010;116:1302–1309.
    1. Tweet MS, Lewey J, Smilowitz NR, et al. Pregnancy-associated myocardial infarction: prevalence, causes, and interventional management. Circ Cardiovasc Interv. 2020;13:e008687:CIRCINTERVENTIONS120008687.
    1. Petitti DB, Sidney S, Quesenberry CP Jr., et al. Incidence of stroke and myocardial infarction in women of reproductive age. Stroke. 1997;28:280–283.
    1. James AH, Jamison MG, Biswas MS, et al. Acute myocardial infarction in pregnancy: a United States population-based study. Circulation. 2006;113:1564–1571.
    1. Ladner HE, Danielsen B, Gilbert WM. Acute myocardial infarction in pregnancy and the puerperium: a population-based study. Obstet Gynecol. 2005;105:480–484.

LinkOut - more resources