Management of Pregnancy-Related Acute Myocardial Infarction. A case report
Introduction
Pregnancy-related myocardial infarction (PRMI) is rare but contributes
significantly to high mortality rates. This is a well-documented case from Guyana, a region lacking
literature on managing this pathology.
Objectives
To highlight the successful management of PRMI and to demonstrate the strategic role of
Low-Molecular Weight Heparin (LMWH) bridging therapy and antiplatelet agents.
Case Pr esentation: A 33-year -old female (G8P2052) at 29 weeks’ gestation, with pre-eclampsia,
gestational diabetes, and a history of hypertension/smoking, complained of chest pain. An
anterolateral myocardial infarction was confirmed by electrocardiogram and elevated Troponin-I
(6.2~ng/mL). Percutaneous coronary intervention (PCI) successfully revascularized the culprit
arteries. Post-dischar ge medications included DAPT , a beta-blocker , and nitrates. LMWH bridging
therapy was planned for peripartum management. Despite an emer gency LSCS, both mother and
neonate were dischar ged without MACE, with the patient remaining clinically stable.
Conclusion
A structured medical regimen, including consideration for LMWH bridging,
achieved a safe maternal and fetal outcome.
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