Acute Myocardial Infarction in Labor: A Case Report

Risk of AMI increased 3-4 fold just by pregnancy. Pregnancy related AMI mostly occurs due to spontaneous coronary artery dissection (SCAD). 37 years old, multiparous women, at 39 weeks of gestation was diagnosed with AMI due to thrombosis. Management of AMI is not clear. Vaginal delivery is may be safe and should be postponed for 2 or 3 weeks because of the increased risk of reccurrent myocardial ischemia or acute heart failure, if possible. If not, cesarean delivery might be an option. Adeaquate analgesia must be provided to avoid increased myocardial oxygen requirement.