{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,28]],"date-time":"2025-04-28T09:04:37Z","timestamp":1745831077266},"reference-count":13,"publisher":"California Digital Library (CDL)","issue":"4","license":[{"start":{"date-parts":[[2021,10,5]],"date-time":"2021-10-05T00:00:00Z","timestamp":1633392000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Acute myocardial infarction (AMI) rarely occurs during pregnancy and presents unique challenges in diagnosis and management. Traditionally, pregnancy has not readily been considered a risk factor for AMI in the emergency department despite the potential for adverse impacts on maternal and fetal health. As cardiovascular risk factors and advanced maternal age become more prevalent in society over time, the incidence will continue to increase. Prior cases with singular gestation have been reported; however, only one previous case during a twin pregnancy was identified in the medical literature. Case Report: We describe a rare case of acute ST-segment elevation myocardial infarction in a 37-year-old woman at 24 weeks gestation with a dichorionic diamniotic twin pregnancy. Conclusion: It is important for the emergency physician to recognize acute coronary syndrome as a part of the differential diagnosis of chest pain in pregnant patients and be familiar with the diagnostic and management options available for this special population.<\/jats:p>","DOI":"10.5811\/cpcem.2021.6.52939","type":"journal-article","created":{"date-parts":[[2021,11,19]],"date-time":"2021-11-19T23:59:59Z","timestamp":1637366399000},"page":"507-510","source":"Crossref","is-referenced-by-count":1,"title":["Acute Myocardial Infarction in a Patient with Twin Pregnancy: A Case Report"],"prefix":"10.5811","volume":"5","author":[{"given":"Tony","family":"Michaelis","sequence":"first","affiliation":[{"name":"Henry Ford Wyandotte Hospital, Department of Emergency Medicine, Wyandotte, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satheesh","family":"Gunaga","sequence":"additional","affiliation":[{"name":"Henry Ford Wyandotte Hospital, Department of Emergency Medicine, Wyandotte, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tyson","family":"McKechnie","sequence":"additional","affiliation":[{"name":"Henry Ford Wyandotte Hospital, Department of Emergency Medicine, Wyandotte, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qaiser","family":"Shafiq","sequence":"additional","affiliation":[{"name":"Henry Ford Wyandotte Hospital, Department of Medicine\/Division of Cardiology, Wyandotte, Michigan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"29705","published-online":{"date-parts":[[2021,10,5]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Iadanza A, Del Pasqua A, Barbati R, et al. Acute ST elevation myocardial infarction in pregnancy due to coronary vasospasm: a case report and review of literature. Int J Cardiol. 2007;115(1):81-5.","DOI":"10.1016\/j.ijcard.2006.01.016"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"Ismail S, Wong C, Rajan P, et al. ST\u2010elevation acute myocardial infarction in pregnancy: 2016 update. Clin Cardiol. 2017;40(6):399-406.","DOI":"10.1002\/clc.22655"},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"James AH, Jamison MG, Biswas MS, et al. Acute myocardial infarction in pregnancy: a United States population-based study. Circulation. 2006;113(12):1564-71.","DOI":"10.1161\/circulationaha.105.576751"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Poh CL and Lee CH. Acute myocardial infarction in pregnant women. Ann Acad Med Singap. 2010;39(3):247-53.","DOI":"10.47102\/annals-acadmedsg.V39N3p247"},{"key":"ref4","doi-asserted-by":"publisher","unstructured":"Yilmaz S, Sahinkus S, Kilic H, et al. Acute coronary syndrome during pregnancy: a case report and literature review. Turk J Emerg Med. 2016;14(3):135-8.","DOI":"10.5505\/1304.7361.2014.05924"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Elkayam U, Jalnapurkar S, Barakkat MN, et al. Pregnancy-associated acute myocardial infarction: a review of contemporary experiences in 150 cases between 2006 and 2011. Circulation. 2014;129(16):1695-702.","DOI":"10.1161\/circulationaha.113.002054"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Norwitz E, Edusa V, Park JS. Maternal physiology and complications of multiple pregnancy. Seminars in Perinatology. 2005;29(5):338-48.","DOI":"10.1053\/j.semperi.2005.08.002"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"ACOG Committee Opinion No. 775: Nonobstetric surgery during pregnancy. Obstet Gynecol. 2019;133(4):e285-6.","DOI":"10.1097\/aog.0000000000003174"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Committee Opinion No.723: Guidelines for diagnostic imaging during pregnancy. Obstet Gynecol. 2017;130(4):e210\u20136.","DOI":"10.1097\/AOG.0000000000002355"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Yarrington CD, Valente AM, Economy KE. Cardiovascular management in pregnancy: antithrombotic agents and antiplatelet agents. Circulation. 2015;132(14):1354-64.","DOI":"10.1161\/circulationaha.114.003902"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Kuba K, Wolfe D, Schoenfeld AH, et al. Percutaneous coronary intervention in pregnancy: modeling of the fetal absorbed dose. Case Rep Obstet Gynecol. 2019;2019:8410203.","DOI":"10.1155\/2019\/8410203"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Levine GN, Bates ER, Blankenship JC, et al. 2015 ACC\/AHA\/SCAI focused update on primary percutaneous coronary intervention for patients with ST\u2010elevation myocardial infarction: an update of the 2011 ACCF\/AHA\/SCAI guideline for percutaneous coronary intervention and the 2013 ACCF\/AHA guideline for the management of ST\u2010elevation myocardial infarction. J Am Coll Cardiol. 2016;67(10):1235-50.","DOI":"10.3410\/f.725890363.793553242"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Pildner von Steinburg S, Klein E, Langwieser N, et al. Coronary stenting after myocardial infarction during twin pregnancy: a case report. Hypertens Pregnancy. 2011;30(4):485-9.","DOI":"10.3109\/10641955.2010.486457"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2023,1,15]],"date-time":"2023-01-15T21:57:49Z","timestamp":1673819869000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/7ms1z86c"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,5]]},"references-count":13,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"4","published-online":{"date-parts":[[2021,11,10]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2021.6.52939","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"type":"electronic","value":"2474-252X"},{"type":"print","value":"2474-252X"}],"subject":[],"published":{"date-parts":[[2021,10,5]]}}}