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Acute Coronary Syndromes in Pregnancy

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Obstetric Catastrophes

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Abstract

Coronary artery disease is relatively uncommon during pregnancy, and it is not surprising that its prevalence is increasing due to changing lifestyle patterns. Physiological changes in pregnancy and the postpartum period can put a strain on the heart, especially in the presence of recognized risk factors for myocardial infarction. Diagnosis of acute coronary syndromes (ACS) in pregnancy may be challenging because its presentation mimics the normal manifestations of pregnancy and consequently low index of suspicion is mandatory. Knowledge of the pathophysiology of ACS in pregnant patients and the challenges in diagnosis and treatment is of pivotal importance. Acute coronary syndrome during pregnancy is associated with high maternal and neonatal mortality and morbidity. Thus, appropriate investigations and treatment must not be delayed because of foetal concerns and multidisciplinary team management and early involvement of the cardiologist are vital for a good outcome.

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Author information

Authors and Affiliations

  1. Anesthesia, Intensive Care and Pain Management, Faculty of Medicine, Ain Shams University, Cairo, Egypt

    Rania Magdi Ali, Bahaa El-Din Ewees Hassan & Noura M. Youssri Mahmoud

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  1. Rania Magdi Ali
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  2. Bahaa El-Din Ewees Hassan
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  3. Noura M. Youssri Mahmoud
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Editor information

Editors and Affiliations

  1. Critical Care Obstetrics Unit, Hospital Doctor Arnulfo Arias Madrid, Panama City, Panama

    Carlos Montufar

  2. Division of Critical Care, Karl Heusner Memorial Hospital, Belize City, Belize

    Jorge Hidalgo

  3. Houston Center for Maternal-Fetal Medicine, Houston, TX, USA

    Alfredo F. Gei

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Ali, R.M., Hassan, B.ED.E., Mahmoud, N.M.Y. (2021). Acute Coronary Syndromes in Pregnancy. In: Montufar, C., Hidalgo, J., Gei, A.F. (eds) Obstetric Catastrophes. Springer, Cham. https://doi.org/10.1007/978-3-030-70034-8_34

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  • DOI: https://doi.org/10.1007/978-3-030-70034-8_34

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  • Online ISBN: 978-3-030-70034-8

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