Postpartum acute myocardial infarction induced by ergonovine administration.
We report a primigravida woman with acute myocardial infarction caused by coronary artery spasm induced by intravenous administration of methyl ergometrine maleate just after delivery. Despite the frequent usage of ergot derivatives to promote uterine contractions, cardiac complications related to this drug are rare. Myocardial infarction may be overlooked in young women in the early postpartum period. Careful monitoring and prompt evaluation should be performed when this drug is administered for obstetrical purposes.
Hayashi
Yuji
Y
Department of Internal Medicine, Kinan Hospital, Mie.
Ibe
Toshio
T
Kawato
Hiroaki
H
Futamura
Noritaka
N
Koyabu
Sukenari
S
Ikeda
Uichi
U
Shimada
Kazuyuki
K
D000328:Adult; D000788:Angina Pectoris, Variant / Q000209:etiology; D003329:Coronary Vasospasm / Q000139:chemically induced*; D004874:Ergonovine / Q000009:adverse effects*; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000139:chemically induced*; D010120:Oxytocics / Q000009:adverse effects*; D049590:Postpartum Period; D011247:Pregnancy; D011644:Puerperal Disorders / Q000139:chemically induced*
D010120:Oxytocics; D004874:Ergonovine