Sammanfattning
Acute myocardial infarction in pregnancy is a rare condition. Two cases of suspected acute myocardial infarction during pregnancy are presented. Acute myocardial infarction in pregnancy is most often caused by atherosclerosis. Other possible aetiologies are dissection, embolism and arterial spasm. Acute coronary angiography is recommended as an early diagnostic procedure that does not present any risk to the embryo. Treatment with aspirin and heparin is safe, but there have been only a few case studies of the use of the newer antithrombotic drugs, chlopidogrel and GPIIb-IIIa inhibitors, in pregnant women.