STEMI while pregnant

My patient last night had an inferior stemi while she was 26 weeks pregnant. Young woman, no prenatal care, endocarditis, extensive drug use, rapid trop over 2000. Pt presented AMS. We thought it could be SCAD (wasn’t). This patient had gone in prior to 20 weeks and asked for an abortion (live in a state where that is illegal) they told her no. I wonder what this kids life is going to look like. We intubated her in the ER and sent her up to cath lab(pt was non cooperative and was tweaking), no heparin, no ASA, just up to cath after we got her settled. Nothing worse than a sick pregnant woman in the ED.

Just an interesting story, thought I’d share.