Key result
Primary angioplasty with a zotarolimus drug-eluting stent via the right radial route successfully managed acute inferior myocardial infarction in a 26-year-old pregnant female.
Why the study?
Can primary angioplasty via the radial route be successfully used to manage acute myocardial infarction in a first-trimester pregnant patient?
Case Report (n=1)
Can primary angioplasty via the radial route be successfully used to manage acute myocardial infarction in a first-trimester pregnant patient?
Primary angioplasty via the radial route with a drug-eluting stent and dual antiplatelet therapy can be successfully performed for acute myocardial infarction during the first trimester of pregnancy.
Answers are grounded in this paper and cite their sources.
Prompt recognition of MI in early pregnancy remains essential; leaves open optimal PCI strategies and outcomes in this rare setting.
Acute myocardial infarction (MI) is a life threatening medical condition during pregnancy. It is extremely rare during first trimester of pregnancy in young females under the age of 30 years. We report the case of a 26 year lady with 8 weeks of pregnancy who developed acute inferior myocardial infarction due to thrombosis of right coronary artery. She presented with persistent chest pain and hypotension and was successfully managed by primary angioplasty with zotarolimus drug eluting stent (ZES) via the right radial route under tirofiban and dual antiplatelet therapy (DAPT).
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Sanjiv Gupta (2017) conducted a case report in Acute myocardial infarction during pregnancy (n=1). Primary angioplasty with zotarolimus drug eluting stent via right radial route was evaluated on Successful management of acute inferior myocardial infarction. Primary angioplasty with a zotarolimus drug-eluting stent via the right radial route successfully managed acute inferior myocardial infarction in a 26-year-old pregnant female.
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