{
    "abstract": "Pregnancy-associated myocardial infarction (PAMI) is a rare but serious complication that can occur either during pregnancy or postpartum. The etiologies of PAMI are atherosclerosis, spontaneous coronary artery dissection, coronary thrombosis, coronary embolism, and coronary vasospasm. Therapy of acute PAMI depends largely on the ECG presentation, hemodynamic stability, and suspected etiology of myocardial infarction. Anesthetic management during delivery in patients with PAMI should consist of early and carefully titrated neuraxial analgesia and anesthesia, maintenance of normal sinus rhythm, preservation of afterload, and monitoring for and avoiding myocardial ischemia. To improve the care of women with PAMI, a multidisciplinary team of cardiologists, maternal fetal medicine specialists, obstetric providers, neonatologists, and anesthesiologists must work collectively to manage these complex patients.",
    "authors": [
        {
            "affiliation": "Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 200 1st Street S.W., Rochester, MN, United States. Electronic address: sharpe.emily@mayo.edu.",
            "firstname": "E E",
            "initials": "EE",
            "lastname": "Sharpe"
        },
        {
            "affiliation": "Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Mayo Clinic, 200 1st Street S.W., Rochester, MN, United States.",
            "firstname": "C H",
            "initials": "CH",
            "lastname": "Rose"
        },
        {
            "affiliation": "Department of Cardiovascular Medicine, Mayo Clinic, 200 1st Street S.W., Rochester, MN, United States.",
            "firstname": "M S",
            "initials": "MS",
            "lastname": "Tweet"
        }
    ],
    "conclusions": null,
    "copyrights": "Copyright \u00a9 2024 Elsevier Ltd. All rights reserved.",
    "doi": "10.1016/j.ijoa.2024.104233",
    "journal": "International journal of obstetric anesthesia",
    "keywords": [
        "Acute coronary syndrome",
        "Anesthesia",
        "Maternal mortality",
        "Myocardial infarction",
        "Myocardial ischemia",
        "Pregnancy",
        "SCAD",
        "Spontaneous coronary artery dissection",
        "Women"
    ],
    "methods": null,
    "publication_date": "2024-09-04",
    "pubmed_id": "39227292",
    "results": null,
    "title": "Obstetric anesthesia considerations in pregnancy-associated myocardial infarction: a focused review.",
    "xml": "<Element 'PubmedArticle' at 0x7885060f58a0>"
}