The PIERS experience: research or quality improvement?

Document Type

Article

Publication Title

Obstetric medicine

Abstract

Acute myocardial infraction (AMI) in the obstetric patient is a rare event, although the incidence is rising due to advancing maternal age and pre-existing cardiac risk factors and medical co-morbidities. While atherosclerotic disease is the leading cause of AMI, coronary artery dissection is an important consideration in pregnancy and in the postpartum period. The physiological changes of pregnancy as well as pregnancy-specific risk factors can predispose the obstetric patient to AMI. Diagnosis of AMI can be challenging as symptoms may be atypical. Furthermore, diagnostic tests must be interpreted in the context of pregnancy. While the overall management of the obstetric patient with AMI is similar to that outside of pregnancy, drug therapy requires modification as some medications may be contraindicated in pregnancy and breastfeeding. There is limited information about prognosis and risk stratification but it is anticipated that future studies will address this issue.

First Page

50

Last Page

7

DOI

10.1258/om.2011.011080

Publication Date

6-1-2012

Identifier

27579136 (pubmed); PMC4989614 (pmc); 10.1258/om.2011.011080 (doi); 10.1258_om.2011.011080 (pii)

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