A known case of myocardial infarction and its outcome in pregnancy

Abstract

Acute myocardial infarction (AMI) is rare in women of child- bearing age during pregnancy. Its prevalence is 1/10,000–30,000. A 32-year-old primigravida, with a history of acute MI 1 year ago, presented to us with regular antenatal checkups and was followed up to term. She was asymptomatic throughout her pregnancy. Electrocardiogram, two-dimensional echocardiogram, cardiology opinion, and preanesthetic evaluation were done. Under strict maternal and fetal monitoring, the mother went into spontaneous labor and delivered by vacuum-assisted vaginal delivery. Both the mother and the baby were stable and healthy. She was asymptomatic in her postpartum period and was discharged on postnatal day 8.

Keywords

• echocardiogram
• myocardial infarction
• pregnancy
• primigravida
• vacuum-assisted vaginal delivery