RESUMO
El síndrome coronario agudo (SCA) en la mujer joven menor de 40 años es poco frecuente, aun más durante la gestación, aunque es razonable esperar un aumento de su incidencia, ya que cada vez se observan más factores de riesgo asociados, entre otros la edad de las gestantes. Presentamos un caso de infarto agudo de miocardio (IAM) en una mujer de 40 años, portadora de un stent coronario por IAM previo, en la que de forma casual por amenorrea secundaria se diagnosticó una gestación de 23 semanas; tras recibir tratamiento fibrinolítico, se obtuvo una buena respuesta maternofetal
Acute coronary syndrome in women aged less than 40 years old is uncommon and is even less frequent during pregnancy. However, the incidence of this syndrome can be expected to increase because associated risk factors, such as increased age at pregnancy, are becoming increasingly frequent. We describe a case of acute myocardial infarction in a 40-year-old woman, with percutaneous transluminal coronary angioplasty and stent placement for a previous acute myocardial infarction. Due to amenorrhea, a 23-week pregnancy was incidentally diagnosed after the patient had received thrombolytic therapy. Maternal and fetal outcome were favorable
