Vessels

Acute coronary syndrome (ACS) in pregnancy is generally considered a rare but potentially life-threatening occurrence. Recent societal trends, including improvements in infertility treatments and professional demands, have contributed to many women delaying pregnancy. The rise in average maternal age means that risks for coronary artery disease and subsequent ACS events in pregnancy are likely to be more frequently encountered by the obstetric clinician. A thorough understanding of the risks, pathophysiology, management, and treatment of ACS and its ramifications in the pregnant patient is required knowledge for all anesthesiologists and other anesthesia providers. This chapter provides a structured approach to the assessment and management of ACS in the parturient.