[Acute myocardial infarction during tocolytic treatment with ritodrine].
Ritodrine, a beta2-adrenergic agonist with a selective effect on the uterine muscle, is prescribed to prevent premature labor and to treat a hypertonic uterus. At therapeutic doses ritodrine has chronotropic and peripheral vasodilator effects. At high doses it has been related to sporadic cases of subendocardial necrosis, pulmonary edema, and death in pregnancy. We report the case of a pregnant woman who had a non-Q wave acute myocardial infarction after administration of ritodrine.
Fornet
I
I
Servicio de Anestesiología y Reanimación, Hospital Universitario La Paz, Madrid. inofornet@yahoo.es
Calvo
M
M
Gimeno
M
M
Canser
E
E
Alonso
E
E
Gilsanz
F
F
D000328:Adult; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000139:chemically induced*; D011247:Pregnancy; D012312:Ritodrine / Q000009:adverse effects*; D015149:Tocolytic Agents / Q000009:adverse effects*
D015149:Tocolytic Agents; D012312:Ritodrine