Changing Incidence and Mechanism of Pregnancy-Associated Myocardial Infarction in the State of California.

Conclusions There has been a trend toward an increase in PAMI incidence in California over the past decade, with an increasing trend in spontaneous coronary artery dissection, vasospasm, and Takotsubo syndrome as mechanisms.

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The conservative approach, which included noninvasive treatment options without a diagnostic coronary angiogram, was received by 183 (54%) out of 341 patients (total patients with PAMI), with a decreasing trend.

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There was a nonsignificant trend toward an increase in PAMI incidence from 2003 to 2011, possibly attributable to higher incidence of spontaneous coronary artery dissection, vasospasm, and Takotsubo syndrome.

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There was a slight trend of increase in incidence of Takotsubo cardiomyopathy from 0% in 2003 and 9.86% in 2011.

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