Ischemic Heart Disease in Pregnancy

Charishma Nallapati; Ki Park

doi:10.1016/j.ccl.2020.09.006

Ischemic Heart Disease in Pregnancy

Cardiol Clin. 2021 Feb;39(1):91-108. doi: 10.1016/j.ccl.2020.09.006. Epub 2020 Nov 2.

Authors

Charishma Nallapati¹, Ki Park²

Affiliations

¹ Department of Medicine, University of Florida College of Medicine, PO Box 100277, Gainesville, FL 32610, USA.
² Division of Cardiovascular Medicine, University of Florida College of Medicine, 1329 Southwest Archer Road., P.O. Box 100288, Gainesville, FL 32610-0288, USA. Electronic address: Ki.park@medicine.ufl.edu.

PMID: 33222818
DOI: 10.1016/j.ccl.2020.09.006

Abstract

The reported incidence of ischemic heart disease in pregnancy is 2.8 to 6.2 per 100,000 pregnancies. Although additional factors, such as maternal diabetes, obesity, and hypertension, are risk factors for ischemic heart disease, pregnancy itself more than doubles the risk for acute myocardial infarction. Given the increasing clinical importance of ischemic heart disease during pregnancy, this article addresses underlying pathophysiology, risk stratification, screening, and diagnosis of ischemic heart disease, as well as recommendations for management of acute myocardial infarction during pregnancy and the early postpartum period.

Keywords: Ischemic heart disease; Pregnancy; SCAD.

Publication types

Review

MeSH terms

Disease Management
Female
Heart Disease Risk Factors
Humans
Myocardial Ischemia* / diagnosis
Myocardial Ischemia* / epidemiology
Myocardial Ischemia* / therapy
Pregnancy
Pregnancy Complications, Cardiovascular* / diagnosis
Pregnancy Complications, Cardiovascular* / epidemiology
Pregnancy Complications, Cardiovascular* / therapy
Risk Assessment / methods