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Kim: Pregnancy-Related Acute Myocardial Infarction: A Case Report
Case Report

Korean Journal of Legal Medicine 2017; 41(1): 20-22.

Published online: 28 February 2017

DOI: https://doi.org/10.7580/kjlm.2017.41.1.20

Pregnancy-Related Acute Myocardial Infarction: A Case Report

Dong Ja Kim

Shinhyunho Pathology Clinic, Daegu, Korea.

Correspondence to: Dong Ja Kim. Shinhyunho Pathology Clinic, 197 Dongdaegu-ro, Suseong-gu, Daegu 42140, Korea. Tel: +82-53-768-5317, Fax: +82-53-768-5319, dongja2222@naver.com

Received 26 January 2017       Revised 16 February 2017       Accepted 21 February 2017

© Copyright 2017 by the Korean Society for Legal Medicine

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Pregnancy-related acute myocardial infarction (AMI) is very rare and can be lethal if the diagnosis and management are delayed. The physiological changes during pregnancy, including in hemodynamics and hormonal status, can increase the risk of AMI even in young women. While atherosclerosis is the leading cause of AMI in the general population, coronary artery dissection is most common in pregnancy-related AMI. Pregnancy-related AMI, which is caused by coronary atherosclerosis, has been rarely reported in Korea. We report an autopsy case of postpartum sudden cardiac death in a 32-year-old woman.

Keywords: Myocardial infarction, Pregnancy, Coronary atherosclerosis, Autopsy

Figures and Tables

Fig. 1

Serial sections of left anterior descending coronary artery show marked atherosclerosis with more than 85% luminal narrowing. Thrombus is not noted in the lumen.

kjlm-41-20-g001
Fig. 2

Myocardium is pale, but acute necrosis or fibrous scar is not seen. The myocardial wall is not thickened (thickness; left ventricle 1 cm, interventricular septum 1.1 cm, right ventricle 0.4 cm).

kjlm-41-20-g002

Notes

Conflicts of Interest No potential conflict of interest relevant to this article was reported.

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