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CASE REPORT
Year : 2020  |  Volume : 9  |  Issue : 5  |  Page : 2528-2530

Pregnancy-associated myocardial infarction following elective caesarean section for two previous caesarean sections and myomectomy


1 Department of Family Medicine, Garki Hospital Abuja; Department of Hospital Services, Federal Ministry of Health Abuja, Nigeria
2 Department of Family Medicine, Garki Hospital Abuja, Nigeria
3 Department of Internal Medicine, Garki Hospital Abuja, Nigeria
4 Department of Obstetrics and Gynecology, Garki Hospital Abuja, Nigeria

Correspondence Address:
Dr. Adaeze Chidinma Oreh
Department of Hospital Services, Federal Ministry of Health, Abuja 900211
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfmpc.jfmpc_225_20

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A 39-year-old woman, gravida 4, para 2 + 1 (2 alive) for elective second repeat caesarean delivery on account of two previous caesarean sections and one open myomectomy. Following the caesarean section, she developed sudden cardiac failure and was transferred to the intensive care unit for mechanical ventilation support. Congestive cardiac failure secondary to non ST segment elevation myocardial infarction (NSTEMI) was subsequently diagnosed following an electrocardiogram (ECG), echocardiography, and cardiac enzyme assay. The presented case demonstrates the importance of skilled delivery and efficient referral services in developing countries to minimize poor maternal and fetal outcomes in pregnancy-related heart disease.


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