ACUTE MYOCARDIAL-INFARCTION DURING PREGNANCY

We report a 30-year-old woman who developed an acute myocardial infarc tion at 24 weeks of gestation. She did not undergo any kind of acute i ntervention. On the 8th hospital day, premature delivery was performed safely following premature rupture of membrane, Coronary angiogram wa s normal and no spasm was induced by provocative test with ergometrine maleate. The patient had abnormal values of fibrinogen, thrombin-anti thrombin III complex and plasmin-alpha(2)-plasmin inhibitor complex. T hus, thrombus formation might have been associated with the onset of a cute myocardial infarction. This is the first case of acute myocardial infarction during pregnancy, showing normal coronary angiogram and ne gative pharmacological provocation of coronary spasm.