Diagnostic challenges in identifying myocardial infarction due to coronary vasospasm in pregnancy complicated by partial HELLP syndrome: a case report.

ABSTRACT:

Background

Although a prevalence of acute myocardial infarction (AMI) is rare in young females regardless of pregnancy, coronary vasospasm (CVS) and spontaneous coronary artery dissection (SCAD) could be observed. Physiologic and hormonal changes during pregnancy, as well as inflammation and vasoreactivity secondary to autoimmune diseases could contribute to CVS or SCAD.

Case summary

We present a 39-year-old woman with systemic lupus erythematosus, antiphospholipid syndrome, and partial haemolysis, elevated liver enzymes, and low platelet (HELLP) syndrome who developed chest discomfort. Initially, the on-call physicians considered that this was attributed to demand ischaemia secondary to obstetric complications. Due to non-reassuring foetal heart tracings and the development

SUBMITTER: Hu J 

PROVIDER: S-EPMC12548568 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature