Pregnancy-related acute myocardial infarction is a rare and potentially life-threatening cardiovascular event, the incidence of which is growing due to the heightened prevalence of several risk factors, including increased maternal age. Its main aetiology is spontaneous coronary artery dissection, which particularly occurs in pregnancy and may engender severe clinical scenarios. Therefore, despite frequently atypical and deceptive presentations, early recognition of such a dangerous complication of gestation is paramount. Notwithstanding diagnostic and therapeutic improvements, pregnancy-related acute myocardial infarction often carries unfavourable outcomes, as emergent management is difficult owing to significant limitations in the use of ionising radiation—e.g. during coronary angiography, potentially harmful to the foetus even at low doses. Notably, however, maternal mortality has steadily decreased in recent decades, indicating enhanced awareness and major medical advances in this field. In our paper, we review the recent literature on pregnancy-related acute myocardial infarction and highlight the key points in its management.

妊娠相关的急性心肌梗死是一种罕见且可能危及生命的心血管事件，由于包括产妇年龄增加在内的多种危险因素的患病率增加，其发病率正在增加。其主要病因是自发性冠状动脉夹层，尤其发生在妊娠期，并可能导致严重的临床情况。因此，尽管经常出现非典型和欺骗性的表现，但及早识别这种危险的妊娠并发症至关重要。尽管诊断和治疗有所改善，但与妊娠相关的急性心肌梗死通常会带来不利的结果，因为由于电离辐射的使用存在显着限制（例如在冠状动脉造影期间，即使在低剂量下也可能对胎儿有害），紧急管理很困难。然而，值得注意的是，近几十年来孕产妇死亡率稳步下降，这表明该领域的意识增强和医学取得了重大进展。在我们的论文中，我们回顾了最近关于妊娠相关急性心肌梗死的文献，并强调了其管理的关键点。