Skip to main content
Top
Published in: The Journal of Obstetrics and Gynecology of India 2/2016

01-12-2016 | Case Report

Non-ST Elevation Myocardial Infarction and Coronary Artery Stenting in Pregnancy in a Woman with Resistant Familial Hyperlipidaemia

Authors: Anna Liza Roslani, Abdul Hadi Jaafar, Anwar Irawan Ruhani

Published in: The Journal of Obstetrics and Gynecology of India | Special Issue 2/2016

Login to get access

Excerpt

A 31-year-old woman with familial hyperlipidaemia and severe coronary artery disease presented at 6 weeks of pregnancy. She had been diagnosed with familial hyperlipidaemia at the age of 7 years, after her father suffered a myocardial infarction in his early forties. She was then lost to follow-up. At the age of 24 years, she had a non-ST elevation myocardial infarction (NSTEMI). A coronary angiogram at that time showed 6 areas of plaque affecting three branches of the coronary arteries. Her medications were simvastatin 20 mg daily, perindopril 4 mg daily, aspirin 150 mg daily and metoprolol 100 mg daily. …
Literature
1.
go back to reference Eapen DJ, Valiani K, Reddy S, et al. Management of familial hypercholesterolemia during pregnancy: case series and discussion. J Clin Lipidol. 2012;6(1):88–91.CrossRef Eapen DJ, Valiani K, Reddy S, et al. Management of familial hypercholesterolemia during pregnancy: case series and discussion. J Clin Lipidol. 2012;6(1):88–91.CrossRef
2.
go back to reference Briggs GG, Freeman RK, Yaffe SJ. Drugs in pregnancy and lactation. A reference guide to fetal and neonatal risk. 9th edn. Philadelphia: Lippincott Williams & Wilkins; 2011. Briggs GG, Freeman RK, Yaffe SJ. Drugs in pregnancy and lactation. A reference guide to fetal and neonatal risk. 9th edn. Philadelphia: Lippincott Williams & Wilkins; 2011.
3.
go back to reference Pieper PG, Hoendermis ES. Pregnancy in women with pulmonary hypertension. Neth Heart J. 2011;19(12):504–8.CrossRef Pieper PG, Hoendermis ES. Pregnancy in women with pulmonary hypertension. Neth Heart J. 2011;19(12):504–8.CrossRef
4.
go back to reference Yusuf S, Bijsterveld NR, Moons AHM. Effects of clopidogrel in addition to aspirin in patients with acute coronary syndromes without ST-segment elevation: the Clopidogrel in Unstable Angina to Prevent Recurrent Events Trial Investigators. N Engl J Med. 2001;345:494–502.CrossRef Yusuf S, Bijsterveld NR, Moons AHM. Effects of clopidogrel in addition to aspirin in patients with acute coronary syndromes without ST-segment elevation: the Clopidogrel in Unstable Angina to Prevent Recurrent Events Trial Investigators. N Engl J Med. 2001;345:494–502.CrossRef
5.
go back to reference Chassot PG, Delabays A, Spahn DR. Perioperative anti-platelet therapy: the case for continuing therapy in patients at risk of myocardial infarction. Br J Anaesth. 2007;99(3):316–28.CrossRef Chassot PG, Delabays A, Spahn DR. Perioperative anti-platelet therapy: the case for continuing therapy in patients at risk of myocardial infarction. Br J Anaesth. 2007;99(3):316–28.CrossRef
6.
go back to reference Burger W, Chemnitius JM, Kneissl GD et al. Low-dose aspirin for secondary cardiovascular prevention—cardiovascular risks after its perioperative withdrawal versus bleeding risks with its continuation—review and meta-analysis. J Intern Med. 2005;257:399–414.CrossRef Burger W, Chemnitius JM, Kneissl GD et al. Low-dose aspirin for secondary cardiovascular prevention—cardiovascular risks after its perioperative withdrawal versus bleeding risks with its continuation—review and meta-analysis. J Intern Med. 2005;257:399–414.CrossRef
7.
go back to reference Nuttall GA, Brost BC, Connis RT, et al. Practice guidelines for perioperative blood transfusion and adjuvant therapies: an updated report by the American Society of Anesthesiologists Task Force on Perioperative Blood Transfusion and Adjuvant Therapies. Anesthesiology. 2006;105:198–208.CrossRef Nuttall GA, Brost BC, Connis RT, et al. Practice guidelines for perioperative blood transfusion and adjuvant therapies: an updated report by the American Society of Anesthesiologists Task Force on Perioperative Blood Transfusion and Adjuvant Therapies. Anesthesiology. 2006;105:198–208.CrossRef
8.
go back to reference Toleikyte I, Retterstøl K, Leren TP et al. Pregnancy outcomes in familial hypercholesterolemia a registry-based study. Circulation. 2011;124:1606–14.CrossRef Toleikyte I, Retterstøl K, Leren TP et al. Pregnancy outcomes in familial hypercholesterolemia a registry-based study. Circulation. 2011;124:1606–14.CrossRef
Metadata
Title
Non-ST Elevation Myocardial Infarction and Coronary Artery Stenting in Pregnancy in a Woman with Resistant Familial Hyperlipidaemia
Authors
Anna Liza Roslani
Abdul Hadi Jaafar
Anwar Irawan Ruhani
Publication date
01-12-2016
Publisher
Springer India
Published in
The Journal of Obstetrics and Gynecology of India / Issue Special Issue 2/2016
Print ISSN: 0971-9202
Electronic ISSN: 0975-6434
DOI
https://doi.org/10.1007/s13224-016-0878-y

Other articles of this Special Issue 2/2016

The Journal of Obstetrics and Gynecology of India 2/2016 Go to the issue