Chest pain in pregnancy: Difference between revisions
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==Overview== | ==Overview== | ||
Causes of chest pain in pregnancy are similar to those in the general population. Acute life-threatening causes include [[ST elevation myocardial infarction in pregnancy|myocardial infarction]], [[aortic dissection]], [[tension pneumothorax]], as well as thromboembolic diseases that are more common in pregnancy, such as [[pulmonary embolism]] and [[amniotic fluid embolism]]. Occasionally, chest pain in pregnant women is caused by physiological changes in pregnancy, namely chest expansion and breast tenderness. | Causes of chest pain in pregnancy are similar to those in the general population. Acute life-threatening causes include [[ST elevation myocardial infarction in pregnancy|myocardial infarction]], [[aortic dissection]], [[tension pneumothorax]], as well as thromboembolic diseases that are more common in pregnancy, such as [[pulmonary embolism]] and [[amniotic fluid embolism]]. Occasionally, chest pain in pregnant women is caused by physiological changes in pregnancy, namely chest expansion and breast tenderness. |
Revision as of 22:36, 6 February 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-In-Chief: Nuha Al-Howthi, MD[2]
Overview
Causes of chest pain in pregnancy are similar to those in the general population. Acute life-threatening causes include myocardial infarction, aortic dissection, tension pneumothorax, as well as thromboembolic diseases that are more common in pregnancy, such as pulmonary embolism and amniotic fluid embolism. Occasionally, chest pain in pregnant women is caused by physiological changes in pregnancy, namely chest expansion and breast tenderness.
Causes
Life-threatening Causes
Life-threatening causes of chest pain among pregnant women include the following:
- Atherosclerotic plaque rupture: Common in antepartum period
- Coronary dissection: Common in peripartum or postpartum period
- 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)