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Peripartum cocaine use and postpartum myocardial infarction
  1. James Castleman,
  2. Laura Veal,
  3. Ramesh Ganapathy
  1. Department of Maternity and Perinatal Medicine, City Hospital, Birmingham, UK
  1. Correspondence to Dr James Castleman c/o Mr R Ganapathy, Department of Maternity and Perinatal Medicine, Sandwell and West Birmingham Hospitals NHS Trust, City Hospital, Birmingham B18 7QH, UK; james.castleman{at}

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To the Editor: ‘Time to act’1—a message which resonates with the team on our metropolitan Delivery Suite, who this week managed an acute myocardial infarction in a postnatal lady. Our patient had two of the risk factors mentioned in the editorial, her being 36 years old and a smoker. In addition, she had an important risk factor which can be missed, as demonstrated by our recent experience. Since most women with acute coronary syndrome in pregnancy and the puerperium have no symptoms before pregnancy, …

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  • Competing interests None.

  • Provenance and peer review Not commissioned; internally peer reviewed.