Title: AMI in pregnancy

题目：急性心肌梗死与妊娠

Author 作者: Priya Kuppusamy, MD

I. Background 简介

a. Pregnancy is a risk factor for AMI!

妊娠是心梗的一个危险因素！

i. Acts as physiologic stress test for the heart 对心脏相当于一个负荷试验

ii. Increase in estrogen and progesterone

b. Rising maternal age along with increased rates of obesity = more women w/comorbid conditions are pregnant

II. Incidence and types of AMI in pregnancy 妊娠期心肌梗死发病率和类型

a. Incidence is 6.2/100K deliveries

发病率为10万分之6.2

b. Anterior and lateral wall MIs more common

前和侧壁心梗比较常见

III. Risk factors 危险因素

a. Advanced maternal age (>40yo) 高龄妊娠（超过40岁）

b. Thrombophilia 高血栓形成倾向

c. Smoking 吸烟

d. Hypertension 高血压

e. DM 糖尿病

f. Anemia & history of transfusion 贫血和由输血史

g. Complications of pregnancy 妊娠合并症

i. Pre-eclampsia 先兆子痫

ii. Post-partum hemorrhage 分娩后出血

iii. Post-partum infections (can induce an inflammatory state) 分娩后感染（导致炎症反应）

IV. BOTTOM LINE 要点

Young, pregnant women have MIs too!

年轻但怀孕妇女也可以患心肌梗死！

References 参考文献:

James AH, Jamison MG, Biswas MS et al. Acute myocardial infarction in pregnancy: a United States population-based study. Circulation. 2006 Mar 28;113(12):1564-1571.