title: [Acute anterior wall infarct in a 31-year-old patient after administration of methylergometrin for peripartal vaginal hemorrhage].
abstract: METHODS
  After administration methylergometrine 30 minutes after delivery for peripartal vaginal bleeding a 31-year-old female patient developed an acute anterior wall myocardial infarction. Coronary angiography 7 hours after beginning of the chest pain demonstrated a dissection with a large thrombus in the proximal left anterior descending artery, followed by a complete occlusion in the periphery of the vessel (Figure 1). After applying rtPA intravenously, coronary angiography showed 24 hours later an open vessel without thrombotic material (Figure 2).
  
  
  CONCLUSIONS
  Coronary artery spasm induced by methylergometrine must be regarded as the main reason for the dissection and thrombus formation followed by a myocardial infarction.
authors.affiliation: Klinik und Poliklinik für Innere Medizin C-Kardiologie und Angiologie, Institut für Arterioskleroseforschung, Universitätsklinikum Münster. ribbing@uni-muenster.de
authors.forename: M
authors.initials: M
authors.lastname: Ribbing
authors.forename: H
authors.initials: H
authors.lastname: Reinecke
authors.forename: G
authors.initials: G
authors.lastname: Breithardt
authors.forename: S
authors.initials: S
authors.lastname: Kerber
mesh_terms: D000328:Adult; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000139:chemically induced / Q000175:diagnosis; D003329:Coronary Vasospasm / Q000139:chemically induced* / Q000175:diagnosis; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular; D008755:Methylergonovine / Q000008:administration & dosage / Q000009:adverse effects*; D009203:Myocardial Infarction / Q000139:chemically induced* / Q000175:diagnosis; D006473:Postpartum Hemorrhage / Q000188:drug therapy*; D012307:Risk Factors
chemical_list: D008755:Methylergonovine
vernacular_title: Akuter Vorderwandinfarkt einer 31-jährigen Patientin nach Gabe von Methylergometrin aufgrund peripartaler vaginaler Blutung.