One case of elderly pregnant women with acute ST-segment elevation myocardial infarction was treated
10.3969/j.issn.1004-8812.2025.07.008
- VernacularTitle:高龄孕妇合并急性ST段抬高型心肌梗死救治1例
- Author:
Tao LI
1
;
Gui-xia WEI
;
Zhen-ye CHENG
;
Jun-jie ZHANG
;
Li YU
;
Yuan-yuan SONG
;
Xue-xiang LI
Author Information
1. 莱州市人民医院心血管内科,山东莱州 261400
- Publication Type:Journal Article
- Keywords:
Advanced age of pregnancy;
Acute myocardial infarction;
Spontaneous coronary artery dissection
- From:
Chinese Journal of Interventional Cardiology
2025;33(7):412-417
- CountryChina
- Language:Chinese
-
Abstract:
Patients with advanced pregnancy complicated by acute ST-segment elevation myocardial infarction are relatively rare both domestically and internationally,and there are currently no relevant guidelines to guide clinical treatment.In this case,a 39-year-old pregnant woman was admitted to the hospital with sudden chest pain,and the electrocardiogram showed extensive anterior ST-segment elevation myocardial infarction.Coronary angiography showed subtotal subtotal occlusion of the proximal left anterior descending artery.Reperfusion and revascularization were given,and the blood flow grade of the trial of thrombolytic in myocardial infarction was restored.Complete intravascular ultrasonography to determine the cause of occlusion due to spontaneous hematoma of the left anterior descending artery.After the operation,a reasonable antiplatelet and anticoagulant treatment regimen was selected according to the coronary artery lesion,and the pregnancy was terminated at the appropriate time,and 1 live male baby was successfully delivered.Maternal and fetal health was followed up after 1、3 and 6 months.Through the experience and summary of the treatment process,combined with the literature,the pathogenesis of this disease is discussed,and the strategy of revascularization,the selection of antithrombotic drugs and the timing of pregnancy termination are discussed in depth for clinical reference.
