Thorakale Schmerzen in der 32. Schwangerschaftswoche
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- 作者：Dr. A. Schmutz ; P. Quaas ; S. Grundmann
- 关键词：SchlüsselwörterSchwangerschaftskomplikation ; Plättchenaggregationshemmung ; Myokardinfarkt ; Schwangerschaftsassoziierte Koronararteriendissektion
- 刊名：Der Anaesthesist
- 出版年：2016
- 出版时间：September 2016
- 年：2016
- 卷：65
- 期：9
- 页码：690-695
- 全文大小：916 KB
- 刊物类别：Medicine
- 刊物主题：Medicine & Public Health
Anesthesiology
Emergency Medicine
Intensive and Critical Care Medicine
Pain Medicine - 出版者：Springer Berlin / Heidelberg
- ISSN：1432-055X
- 卷排序：65
文摘
A 32-year-old woman at 32 weeks gestation presented with cardiac arrest due to ventricular tachycardia following acute chest pain at home. After immediate defibrillation with return of spontaneous circulation (ROSC), an ST segment elevation myocardial infarction due to coronary artery dissection was confirmed. Two drug-eluting stents were implanted and she was placed on dual antiplatelet therapy (DAPT). The echocardiogram showed akinesis of the apex and anterior wall. The patients risk for stent thrombosis was considered high and therefore DAPT was continued until cesarean section at 35 weeks gestation. Intraoperatively she received two units of packed red blood cells, one platelet concentrate, 4 g fibrinogen and 2 g tranexamic acid. Left ventricular ejection fraction deteriorated 8 days after delivery and the patient developed congestive heart failure.