Subendocardial stress in pre-eclampsia.
Tomio TranMorteza FarasatMori J KrantzPublished in: Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc (2020)
A primigravida 26-year-old woman who had developed pre-eclampsia with malignant hypertension at 30 weeks of gestation suffered acute myocardial infarction two days postpartum. Electrocardiogram demonstrated diffuse ST-segment depression suggestive of subendocardial ischemia. Echocardiography demonstrated focal asymmetric left ventricular hypertrophy, with a characteristic "basal septal bulge", and a left ventricular mid-cavitary gradient of 51 mmHg. Coronary angiography revealed normal coronary arteries and vascular flow. Peripartum acute myocardial infarction is rare and portends a high mortality. However, to date, only one case of acute myocardial infarction associated with asymmetric left ventricular hypertrophy and pre-eclampsia has been described in the literature.
Keyphrases
- left ventricular
- acute myocardial infarction
- hypertrophic cardiomyopathy
- aortic stenosis
- cardiac resynchronization therapy
- heart failure
- left atrial
- mitral valve
- percutaneous coronary intervention
- blood pressure
- systematic review
- coronary artery
- preterm infants
- depressive symptoms
- cardiovascular events
- gestational age
- computed tomography
- type diabetes
- single cell
- physical activity
- atrial fibrillation
- aortic valve