Bradycardia and asystole following atropine-neostigmine administration after caesarean section in a parturient receiving methyldopa for pregnancy-induced hypertension.
We report one case of bradycardia and asystole immediately after the administration of 1 mg atropine and 2 mg neostigmine after the completion of an urgent caesarean section. We attribute this adverse reaction to the treatment of pregnancy-induced hypertension with methyldopa, perhaps facilitated by other drugs employed. Similar reactions have been reported relating to beta-receptor antagonists and tricyclic antidepressants, but not to methyldopa.
Rodríguez
J
J
Servicio de Anestesiología y Reanimación, Hospital xeral de Galicia-Clínico Universitario, Facultad de Medicine, Universidad de Santiago, Santiago de Compostela, Spain.
Cortiñas
J
J
Bárcena
M
M
Ginesta
V
V
Alvarez
J
J