Abstract

MONTIEL-JAROLIN, Dora; NUNEZ, Ángel  and  MORAN, Aracelli. Pregnant adolescent with non ST segment elevation myocardial infarction as complication of eclampsia. Rev. virtual Soc. Parag. Med. Int. [online]. 2014, vol.1, n.2, pp.54-60. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2014.01(02)54-060.

An 18-year adolescent with a 38-week pregnancy looks for medical attention in her community due to a progressive respiratory difficulty of three-day evolution. She also presents lower extremities edema and arterial hypertension. Due to tonic-clonic seizures, the patient is admitted into the Department of Gyneco-Obstetrics of the National Hospital with a diagnosis of eclampsia and an urgent cesarean section is indicated. The electrocardiogram shows a ST-segment depression in the anterior, lateral, septal and apical sides. Elevated cardiac enzymes and increase of troponin I are also detected. Extensive acute myocardial infarction not Q is diagnosed. The transthoracic echocardiography shows anterior, septal and apical akinesia and hypokinesia of the remaining segments with an ejection fraction of 28-32%. The patient presents a favorable evolution. A week later, the electrocardiogram is normal and the control transthoracic echocardiography reveals persistent changes in the motility of the LV with improvement of the ejection fraction (48%). One month after the event, the echocardiography shows normal systolic function with an ejection fraction of 60% without residual alterations of the motility

Keywords : pre-eclampsia; eclampsia; non ST segment elevation myocardial infarction.

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