Morbidity and Mortality Conference with Dr. Curry

Acute Coronary Syndrome in Pregnancy

Epidemiology

• Incidence reported at about 6/100,000 deliveries
• Maternal mortality is between 5-9%
• 75% are STEMI
• 2/3rds are anterior wall MI (LAD or LM as the culprit vessel)

Risk Factors

Many of these are typical ACS risk factors but are less prevalent in the pregnant population

• Older age (>35 years old for pregnancy is considered older age....yikes)
• Hypertension
• Diabetes
• Obesity
• Smoking
• Dyslipidemia