For pregnant patients in their first trimester presenting with acute MI with plan for emergent angiogram, who then subsequently have resolution of chest pain and EKG changes following initiation of heparin gtt, DAPT, would you still consider proceeding with LHC or treat medically with presumptive diagnosis of SCAD?
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To question: A 19-year-old 7-week pregnant female presents with acute IWMI, after starting heparin and DAPT in preparation for emergent angiogram, chest pain and EKG changes resolve. Do you proceed with angiogram or treat medically with the presumptive dx
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1 Answer
Mednet MemberInvited Expert
Cardiology · Lsu Health Shreveport Division Of Cardiovascular Disease
Answered on
Great question and a highly debatable topic. I would consider a coronary angiogram to define the coronary anatomy as there are many differentials for pregnancy-associated acute myocardial infarction with ST elevation and treatment can differ accordingly. A conservative approach is acceptable for a l...
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