Keerthana S, Rajanikanth S Malapur, Vijayalakshmi P B

ACUTE CORONARY SYNDROME IN PREGNANCY – CASE REPORT

  • General Medicine
  • General Earth and Planetary Sciences
  • General Environmental Science
  • General Medicine
  • Ocean Engineering
  • General Medicine
  • General Medicine
  • General Medicine
  • General Medicine
  • General Earth and Planetary Sciences
  • General Environmental Science
  • General Medicine
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Background: Atherosclerotic disease is the most common cause of acute coronary syndrome (ACS) in general population. Spontaneous coronary artery dissection is the most common cause of coronary artery disease (CAD) in pregnancy. Arterial thrombosis is rare in pregnancy. Hypercoagulable state in pregnancy leads to thrombosis in predisposed individuals. Various other risk factors include dyslipidemia, diabetes, hypothyroidism, high maternal age, hormone therapy. Being a case report the study was c Methods: onducted at SDM Medical College, Dharwad, Karnataka, India, based on a patient came to Emergency Room (ER) in August 2021. We analysed the case to nd out the signicance of emergency medical management of ACS in pregnancy. A woman of term pregnancy came to ER with chest pain was evaluated with electrocardiogram (ECG) and shortness of breath prole (SOB). ECG and SOB was suggestive of Non ST segment elevation myocardial infarction (NSTEMI). The patient was evaluated with echocardiography and angiography. Angiography showed distal left anterior descending artery (LAD) thrombosis. Patient was treated with antiplatelets and anticoagulants without the need of thrombolysis or angioplasty. Lower segment caesarean section (LSCS) was the mode of delivery. Maternal and fetal wellbeing was assured through prompt dia Conclusion: gnosis and management in ER.

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