Key result
Management of pregnancy after acute coronary syndrome requires individualized cardiovascular assessment and multidisciplinary care due to a lack of exhaustive safety data and guidelines.
This review highlights the complexities and lack of robust safety data regarding the management of pregnant women with a history of acute coronary syndrome, emphasizing the need for individualized, multidisciplinary care.
Supports individualized multidisciplinary care for post-ACS pregnancy; leaves open gaps in safety data requiring prospective studies.
Coronary artery disease complicates only 0.01% of all pregnancies. For this reason, more exhaustive data on the management of such cases is lacking. Even guidelines on management of cardiovascular disease in pregnant women are scarce focusing mainly on acute myocardial infarction. This is a complex issue involving thorough evaluation of cardiovascular status in each pregnant woman, assessment of risk for developing coronary complications, and close cooperation with obstetric teams. Safety data on typical cardiac drugs such as statins, angiotensin converting enzyme inhibitors, angiotensin receptor blockers, or novel antiplatelet drugs are also scarce and their effect on the developing human fetus is not well understood. We present a review on the management of such patients.
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Janion−Sadowska et al. (2013) conducted a review in Pregnancy after Acute Coronary Syndrome. Management of pregnancy after acute coronary syndrome was evaluated. Management of pregnancy after acute coronary syndrome requires individualized cardiovascular assessment and multidisciplinary care due to a lack of exhaustive safety data and guidelines.
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