Acute coronary syndrome induced by intravenous ephedrine in pregnant woman with normal coronaries.
Intravenous ephedrine administered during a C-section was observed to cause an acute coronary syndrome in a pregnant woman with normal coronaries. The patient developed sub-sternal chest pain, was noted to have 10 beats of non-sustained ventricular tachycardia, ST abnormalities were observed on her ECG and cardiac enzymes were elevated. The patient had normal coronary arteries by angiogram and during a one-year period of follow up no further cardiac events occurred.
Gedevanishvili
Alexander
A
Division of Cardiology, University of Texas Medical Branch, Galveston, USA.
Chamoun
Antonio
A
Uretsky
Barry F
BF
Rahman
Atiar M
AM
D000208:Acute Disease; D000328:Adult; D000773:Anesthesia, Obstetrical; D002585:Cesarean Section; D017023:Coronary Angiography; D003327:Coronary Disease / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D004562:Electrocardiography; D004809:Ephedrine / Q000008:administration & dosage / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007275:Injections, Intravenous; D005996:Nitroglycerin / Q000008:administration & dosage / Q000627:therapeutic use; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000188:drug therapy / Q000209:etiology*; D013577:Syndrome; D014662:Vasoconstrictor Agents / Q000008:administration & dosage / Q000009:adverse effects*; D014665:Vasodilator Agents / Q000008:administration & dosage / Q000627:therapeutic use
D014662:Vasoconstrictor Agents; D014665:Vasodilator Agents; D005996:Nitroglycerin; D004809:Ephedrine