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Keywords:

  • chest pain;
  • ischaemic heart disease;
  • myocardial infarction;
  • pregnancy

Key content

  • Myocardial infarction is a rare but life-threatening medical condition during pregnancy.
  • If unrecognised and not managed appropriately, the associated mortality and morbidity are high.
  • A high index of suspicion, early diagnosis and treatment are essential.
  • Multidisciplinary management involving the obstetric physician, cardiologist, anaesthetists and obstetrician is key to improving outcomes.

Learning objectives

  • To revise the physiological cardiovascular changes in pregnancy.
  • To recognise the pathophysiology of myocardial infarction during pregnancy.
  • Identify risks factors for myocardial infarction.
  • Recognise symptoms and signs of myocardial infarction.
  • To learn the general management principles of myocardial infarction in pregnancy.

Ethical issues

  • Should asymptomatic pregnant women with multiple risk factors be screened for coronary heart disease?