Acute myocardial infarction due to vasospasm induced by prostaglandin.
Prostaglandin E (PGE) is the preferred agent for second-trimester pregnancy termination. Hypotension, bradycardia, ventricular arrhythmias, myocardial infarction, cardiac arrest and death associated with PGE have been reported. A case of acute myocardial infarction due to coronary vasospasm induced by PGE is described in the present report. The diagnosis was confirmed by electrocardiography and coronary angiography.
Sung
Chong Won
CW
Department of Internal Medicine, Kangnam Sacred Heart Hospital, Hallym University Meidcal Center, Seoul, Republic of Korea.
Jung
Jae-Hun
JH
Lee
Sang-Hak
SH
Lee
Kyung Min
KM
Ahn
Byung Moo
BM
Choi
Seonghoon
S
Cho
Jung Rae
JR
Lee
Nanho
N
Lee
Keun-Young
KY
D000282:Administration, Intravaginal; D000328:Adult; D000527:Alprostadil / Q000008:administration & dosage / Q000009:adverse effects*; D017023:Coronary Angiography; D003329:Coronary Vasospasm / Q000139:chemically induced* / Q000150:complications / Q000175:diagnosis; D004562:Electrocardiography; D005260:Female; D006801:Humans; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011256:Pregnancy Outcome; D014665:Vasodilator Agents / Q000008:administration & dosage / Q000009:adverse effects
D014665:Vasodilator Agents; D000527:Alprostadil