[Fatal re-infarct in pregnancy].

We report on the third pregnancy of a 41-year-old patient with familial hypercholesterolemia. After preceding angina pectoris symptoms she had her first myocardial infarction at an age of 37. Thereafter she had no complaints under medicinal and dietary treatment. During her third pregnancy angina pectoris symptoms occurred again and finally a myocardial re-infarction caused her death. Our case report shows, that the hemodynamic alterations in pregnancy can aggravate the patient's situation even in prepartally uncomplicated coronary diseases.