Postpartum acute MI following routine ergometrine administration treated successfully by primary PTCA

On admission her ECG showed ST segment elevation across the chest leads with 6 mm of ST elevation in leads V4 and V5 confirming an acute anterior myocardial infarction (MI). Refractory vasospasm culminating in MI is a recognised complication in this setting, and occlusive coronary artery spasm leadi...

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Bibliographic Details
Published in:British heart journal 2000-01, Vol.83 (1), p.97-98
Main Authors: Sutaria, N, O'Toole, L, Northridge, D
Format: Article
Language:English
Subjects:
Adult
Angina pectoris
Angioplasty
Angioplasty, Balloon, Coronary
Biological and medical sciences
Cardiovascular disease
Case Report
Coronary vessels
Drug toxicity and drugs side effects treatment
Electrocardiography
Ergonovine - adverse effects
Female
Heart attacks
Humans
Medical sciences
Myocardial Infarction - chemically induced
Myocardial Infarction - therapy
Oxytocics - adverse effects
Oxytocin - adverse effects
Pharmacology. Drug treatments
Placenta
Postpartum period
Pregnancy
Puerperal Disorders - chemically induced
Thrombosis
Toxicity: cardiovascular system
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Summary:On admission her ECG showed ST segment elevation across the chest leads with 6 mm of ST elevation in leads V4 and V5 confirming an acute anterior myocardial infarction (MI). Refractory vasospasm culminating in MI is a recognised complication in this setting, and occlusive coronary artery spasm leading to in situ thrombosis has been shown angiographically. 3 However, there have been only two previous reports of MI resulting from postpartum use of ergometrine. 4 5 In both reports the patients had angiographically normal coronary arteries.
ISSN:1355-6037
0007-0769
1468-201X
DOI:10.1136/heart.83.1.97