Chest pain in pregnancy

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Chest Pain in Pregnancy
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Causes

Life-threatening Causes

Life-threatening causes of chest pain among pregnant women include the following:

• Acute MI
• Coronary dissection
• Aortic dissection and other aortic syndromes
• Pulmonary embolism
• Amniotic fluid embolism
• Tension pneumothorax

Other Causes

Other causes of chest pain of pregnancy include the following:

• Asthma exacerbation
• Pneumonia
• Pneumothorax
• TB reactivation
• Gastroesophageal reflux disease
• Vasospasm
• Myocarditis
• Pericarditis
• Endocarditis
• Trauma
• Sarcoidosis
• Severe kyphoscoliosis
• Chest expansion (usually physiological change)
• Breast tenderness (usually physiological change)

Acute MI in Pregnancy

• Incidence: 1 per 35,000 deliveries