Acute Myocardial Infarction in a Patient with Twin Pregnancy: A Case Report

Introduction: Acute myocardial infarction (AMI) rarely occurs during pregnancy and presents unique challenges in diagnosis and management. Traditionally, pregnancy has not readily been considered a risk factor for AMI in the emergency department despite the potential for adverse impacts on maternal...

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Autores principales:	Tony Michaelis, Satheesh Gunaga, Tyson McKechnie, Qaiser Shafiq
Formato:	article
Lenguaje:	EN
Publicado:	eScholarship Publishing, University of California 2021
Materias:	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
Acceso en línea:	https://doaj.org/article/9ff4ccd8d6294db5b9d7ee6ca4091f4f
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spelling	oai:doaj.org-article:9ff4ccd8d6294db5b9d7ee6ca4091f4f2021-11-23T20:02:52ZAcute Myocardial Infarction in a Patient with Twin Pregnancy: A Case Report2474-252X10.5811/cpcem.2021.6.52939https://doaj.org/article/9ff4ccd8d6294db5b9d7ee6ca4091f4f2021-11-01T00:00:00Zhttps://escholarship.org/uc/item/7ms1z86chttps://doaj.org/toc/2474-252XIntroduction: Acute myocardial infarction (AMI) rarely occurs during pregnancy and presents unique challenges in diagnosis and management. Traditionally, pregnancy has not readily been considered a risk factor for AMI in the emergency department despite the potential for adverse impacts on maternal and fetal health. As cardiovascular risk factors and advanced maternal age become more prevalent in society over time, the incidence will continue to increase. Prior cases with singular gestation have been reported; however, only one previous case during a twin pregnancy was identified in the medical literature. Case Report: We describe a rare case of acute ST-segment elevation myocardial infarction in a 37-year-old woman at 24 weeks gestation with a dichorionic diamniotic twin pregnancy. Conclusion: It is important for the emergency physician to recognize acute coronary syndrome as a part of the differential diagnosis of chest pain in pregnant patients and be familiar with the diagnostic and management options available for this special population.Tony MichaelisSatheesh GunagaTyson McKechnieQaiser ShafiqeScholarship Publishing, University of CaliforniaarticleMedical emergencies. Critical care. Intensive care. First aidRC86-88.9ENClinical Practice and Cases in Emergency Medicine, Vol 5, Iss 4 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9
spellingShingle	Medical emergencies. Critical care. Intensive care. First aid RC86-88.9 Tony Michaelis Satheesh Gunaga Tyson McKechnie Qaiser Shafiq Acute Myocardial Infarction in a Patient with Twin Pregnancy: A Case Report
description	Introduction: Acute myocardial infarction (AMI) rarely occurs during pregnancy and presents unique challenges in diagnosis and management. Traditionally, pregnancy has not readily been considered a risk factor for AMI in the emergency department despite the potential for adverse impacts on maternal and fetal health. As cardiovascular risk factors and advanced maternal age become more prevalent in society over time, the incidence will continue to increase. Prior cases with singular gestation have been reported; however, only one previous case during a twin pregnancy was identified in the medical literature. Case Report: We describe a rare case of acute ST-segment elevation myocardial infarction in a 37-year-old woman at 24 weeks gestation with a dichorionic diamniotic twin pregnancy. Conclusion: It is important for the emergency physician to recognize acute coronary syndrome as a part of the differential diagnosis of chest pain in pregnant patients and be familiar with the diagnostic and management options available for this special population.
format	article
author	Tony Michaelis Satheesh Gunaga Tyson McKechnie Qaiser Shafiq
author_facet	Tony Michaelis Satheesh Gunaga Tyson McKechnie Qaiser Shafiq
author_sort	Tony Michaelis
title	Acute Myocardial Infarction in a Patient with Twin Pregnancy: A Case Report
title_short	Acute Myocardial Infarction in a Patient with Twin Pregnancy: A Case Report
title_full	Acute Myocardial Infarction in a Patient with Twin Pregnancy: A Case Report
title_fullStr	Acute Myocardial Infarction in a Patient with Twin Pregnancy: A Case Report
title_full_unstemmed	Acute Myocardial Infarction in a Patient with Twin Pregnancy: A Case Report
title_sort	acute myocardial infarction in a patient with twin pregnancy: a case report
publisher	eScholarship Publishing, University of California
publishDate	2021
url	https://doaj.org/article/9ff4ccd8d6294db5b9d7ee6ca4091f4f
work_keys_str_mv	AT tonymichaelis acutemyocardialinfarctioninapatientwithtwinpregnancyacasereport AT satheeshgunaga acutemyocardialinfarctioninapatientwithtwinpregnancyacasereport AT tysonmckechnie acutemyocardialinfarctioninapatientwithtwinpregnancyacasereport AT qaisershafiq acutemyocardialinfarctioninapatientwithtwinpregnancyacasereport
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Acute Myocardial Infarction in a Patient with Twin Pregnancy: A Case Report

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