title: Cardiac troponin I elevation after orogenital sex during pregnancy.
abstract: BACKGROUND
  Venous air embolism due to orogenital sex in pregnancy is an uncommon clinical event.
  
  
  METHODS
  A previously healthy, 29-week pregnant woman presented to the emergency room unconscious 1 hour after engaging in orogenital sex with her partner. The cardiology service was consulted due to troponin elevation. Assessment was that the patient had likely suffered an air embolism with associated troponin leak.
  
  
  CONCLUSIONS
  Although a rare clinical event, air embolism from air insufflation of the vagina can result in troponin elevation and should be considered in the differential diagnosis in pregnant patients with a history of orogenital sex.
authors.affiliation: Washington University School of Medicine, Division of Cardiology, St. Louis, Missouri, USA.
authors.forename: José Mauricio
authors.initials: JM
authors.lastname: Sánchez
authors.forename: Michael R
authors.initials: MR
authors.lastname: Milam
authors.forename: Tracy M
authors.initials: TM
authors.lastname: Tomlinson
authors.forename: Michael A
authors.initials: MA
authors.lastname: Beardslee
mesh_terms: D000328:Adult; D004618:Embolism, Air / Q000097:blood / Q000175:diagnosis* / Q000209:etiology*; D005260:Female; D006801:Humans; D007327:Insufflation / Q000009:adverse effects; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000097:blood / Q000175:diagnosis* / Q000209:etiology*; D012725:Sexual Behavior; D019210:Troponin I / Q000097:blood*
chemical_list: D019210:Troponin I