[Chest pain and sulprostone during postpartum hemorrhage].
A case of chest pain in a 31-year-old woman after vaginal delivery with epidural analgesia during sulprostone administration is described. Chest pain occurred shortly after sulprostone was started and disappeared when sulprostone was stopped. Ischaemia related data were negative. Angiographically coronary arteries were normal. Coronary artery spasm aetiology was retained. Sulprostone pharmacology is summarized. Coronary artery effects are compared with literature reports. Recommendations before sulprostone use are underlined.
Bayoumeu
F
F
Service d'anesthésie-réanimation, maternité régionale, 10, rue du Dr Heydenreich, 54042 Nancy, France. secretariat.anesthesie@maternite.chu-nancy-fr
Aallali
M
M
Koebele
A
A
Steschenko
G
G
Laxenaire
M C
MC
D000328:Adult; D000767:Anesthesia, Epidural; D000773:Anesthesia, Obstetrical; D002637:Chest Pain / Q000209:etiology*; D017023:Coronary Angiography; D015232:Dinoprostone / Q000009:adverse effects* / Q000031:analogs & derivatives*; D005260:Female; D006801:Humans; D006473:Postpartum Hemorrhage / Q000150:complications* / Q000473:pathology; D011247:Pregnancy
C016767:sulprostone; D015232:Dinoprostone