ABSTRACT
Acute coronary syndrome (ACS) during pregnancy and delivery is a rare event that is usually related to prior disease or family history. Factors that contribute to the appearance of ACS during delivery in women with healthy coronary arteries include high doses of drugs to suppress contractions or increase uterine muscle tone and cardiovascular instability of any kind. Clinical and electrocardiographic abnormalities (eg, ST segment depression) that are suggestive of ACS have been reported to occur during cesarean section but without subsequent enzyme or echocardiographic abnormalities.
Subject(s)
Acute Coronary Syndrome/etiology , Cesarean Section , Coronary Vasospasm/complications , Intraoperative Complications/etiology , Obstetric Labor Complications/etiology , Oxytocin/adverse effects , Ritodrine/adverse effects , Adult , Analgesia, Epidural , Coronary Vasospasm/chemically induced , Female , Fetal Distress , Humans , Pregnancy , Tocolytic Agents/adverse effectsABSTRACT
El síndrome coronario agudo (SCA) durante la gestacióny el parto es una entidad muy poco frecuente quesuele estar relacionado con patología previa o antecedentes familiares. Puede contribuir a la aparición del SCA durante el parto en una mujer con arterias coronarias sanas, las dosis altas de tocolíticos o de uterotónicos y la inestabilidad cardiovascular de cualquier etiología. Se han descrito alteraciones clínicas y electrocardiográficas, como la depresión del segmento ST, durante la cesárea sugestiva de SCA, sin alteraciones enzimáticas ni ecocardiográficas posteriores
Acute coronary syndrome (ACS) during pregnancyand delivery is a rare event that is usually related toprior disease or family history. Factors that contributeto the appearance of ACS during delivery in womenwith healthy coronary arteries include high doses ofdrugs to suppress contractions or increase uterine muscletone and cardiovascular instability of any kind. Clinicaland electrocardiographic abnormalities (eg, STsegment depression) that are suggestive of ACS havebeen reported to occur during cesarean section butwithout subsequent enzyme or echocardiographicabnormalities
