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Angiology
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*Heart Attack
*High Risk Pregnancy
*Postpartum Care
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Acute Myocardial Infarction During Pregnancy and Puerperium in Athletic Women

Two Case Reports

Elias Badui

Division of Cardiology, Hospital de Especialidades, Centro Medico La Raza, I.M.S.S., Mexico, D.F.

Alberto Rangel

Division of Cardiology, Hospital de Especialidades, Centro Medico La Raza, I.M.S.S., Mexico, D.F.

Roberto Enciso

Division of Cardiology, Hospital de Especialidades, Centro Medico La Raza, I.M.S.S., Mexico, D.F.

Rafael Espinosa

Division of Cardiology, Hospital de Especialidades, Centro Medico La Raza, I.M.S.S., Mexico, D.F.

Gerardo Bermudez

Division of Cardiology, Hospital de Especialidades, Centro Medico La Raza, I.M.S.S., Mexico, D.F.

Pastor Luna

Division of Cardiology, Hospital de Especialidades, Centro Medico La Raza, I.M.S.S., Mexico, D.F.

Luis Lepe

Division of Cardiology, Hospital de Especialidades, Centro Medico La Raza, I.M.S.S., Mexico, D.F.

Luis Martinez

Division of Cardiology, Hospital de Especialidades, Centro Medico La Raza, I.M.S.S., Mexico, D.F.

The authors present 2 cases: 1 of a thirty-two-year-old woman and another of a thirty- eight-year-old woman, both Hispanic and athletic, with no identifiable precipitating or coronary risk factors, such as previous heart disease, hypertension, diabetes mellitus, cigarette smoking, hyperlipoproteinemia, oral contraceptive use, coagulation disorders, thyroid disease, collagen tissue disorder, or family history of premature myocardial infarc tion, who both developed an acute posteroinferior wall myocardial infarction with normal coronary arteries, one during pregnancy, from which normal twin girls were born, and another, during the postpartum period.

After reviewing the literature the authors consider the present cases as unique due to the rare association of pregnancy with intrapartum and postpartum acute myocardial infarction with normal coronary arteries in athletic women.

Angiology, Vol. 45, No. 10, 897-902 (1994)
DOI: 10.1177/000331979404501010
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