Open AccessPregnancy-associated myocardial infarction following elective caesarean section for two previous caesarean sections and myomectomy
Author(s) -
Adaeze Oreh,
Etin-osa U Imagbenikaro,
Aderemi M Adelaja,
Lawrence Ezeogu
Publication year - 2020
Publication title -
journal of family medicine and primary care
Language(s) - English
Resource type - Journals
eISSN - 2278-7135
pISSN - 2249-4863
DOI - 10.4103/jfmpc.jfmpc_225_20
Subject(s) - medicine , caesarean section , myocardial infarction , pregnancy , heart failure , referral , obstetrics , cardiology , nursing , genetics , biology
A 39-year-old woman, gravida 4, para 2 + 1 (2 alive) for elective second repeat caesarean delivery on account of two previous caesarean sections and one open myomectomy. Following the caesarean section, she developed sudden cardiac failure and was transferred to the intensive care unit for mechanical ventilation support. Congestive cardiac failure secondary to non ST segment elevation myocardial infarction (NSTEMI) was subsequently diagnosed following an electrocardiogram (ECG), echocardiography, and cardiac enzyme assay. The presented case demonstrates the importance of skilled delivery and efficient referral services in developing countries to minimize poor maternal and fetal outcomes in pregnancy-related heart disease.