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BioMed Research International
Volume 2013 (2013), Article ID 957027, 7 pages
http://dx.doi.org/10.1155/2013/957027
Review Article

Pregnancy after Acute Coronary Syndrome: A Proposal for Patients’ Management and a Literature Review

1Intensive Cardiac Care Unit, Świętokrzyskie Cardiology Center, 25-736 Kielce, Poland
2Cardiac Catheterisation Laboratory, Świętokrzyskie Cardiology Center, 25-736 Kielce, Poland
32nd Departament of Cardiology, Świętokrzyskie Cardiology Center, 25-736 Kielce, Poland
4Faculty of Health Science, The Jan Kochanowski University, 25-369 Kielce, Poland

Received 16 April 2013; Accepted 26 May 2013

Academic Editor: Theodoros D. Karamitsos

Copyright © 2013 Agnieszka Janion-Sadowska et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Coronary artery disease complicates only 0.01% of all pregnancies. For this reason, more exhaustive data on the management of such cases is lacking. Even guidelines on management of cardiovascular disease in pregnant women are scarce focusing mainly on acute myocardial infarction. This is a complex issue involving thorough evaluation of cardiovascular status in each pregnant woman, assessment of risk for developing coronary complications, and close cooperation with obstetric teams. Safety data on typical cardiac drugs such as statins, angiotensin converting enzyme inhibitors, angiotensin receptor blockers, or novel antiplatelet drugs are also scarce and their effect on the developing human fetus is not well understood. We present a review on the management of such patients.