Pregnant Patient Presenting with Chest Pain

Introduction and Purpose: Cardiovascular diseases are a leading cause of maternal mortality in developed countries.In pregnant women, congenital heart diseases are more common than acquired ones.However, acquired conditions such as aortic dissection, peripartum cardiomyopathy, and acute coronary syndrome (ACS) are associated with higher maternal mortality.The risk of ACS is three to four times higher during pregnancy.Advanced maternal age, diabetes, hypertension, and obesity are significant risk factors, increasing the likelihood of myocardial infarction (MI) during pregnancy.Materials and Methods: A 32-year-old woman at 34 weeks of gestation with a history of diabetes presented with chest pain persisting for one hour.The pain was pressure-like, non-radiating, and not affected by movement.Her vital signs were as follows: blood pressure 126/68 mmHg, oxygen saturation 96%, pulse 82 bpm, and temperature 36.8C.On physical examination, lung sounds were normal, both hemithoraces moved symmetrically with respiration, and heart sounds were rhythmic with no murmurs or additional sounds.Systemic examination was unremarkable.Electrocardiography (ECG) revealed widespread anterolateral ST-segment elevation, suggestive of myocardial infarction.Echocardiography showed an ejection fraction (EF) of 30-35%, and the patient was admitted to the cardiology department for urgent coronary angiography.Photo-1 Results and Conclusion:Acute myocardial infarction (AMI) can present with varied symptoms across different patient populations.In pregnant women presenting with acute chest pain, particularly those with comorbidities, MI should be considered in the differential diagnosis and promptly evaluated to ensure timely intervention.