Postpartum Acute Myocardial Infarction Induced by Ergonovine Administration

Yuji HAYASHI; Toshio IBE; Hiroaki KAWATO; Noritaka FUTAMURA; Sukenari KOYABU; Uichi IKEDA; Kazuyuki SHIMADA

doi:10.2169/internalmedicine.42.983

Yuji HAYASHI, Toshio IBE, Hiroaki KAWATO, Noritaka FUTAMURA, Sukenari KOYABU, Uichi IKEDA, Kazuyuki SHIMADA

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Keywords: myocardial infarction, pregnancy, vasospasm, ergonovine

JOURNAL FREE ACCESS

2003 Volume 42 Issue 10 Pages 983-986

DOI https://doi.org/10.2169/internalmedicine.42.983

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Abstract

We report a primigravida woman with acute myocardial infarction caused by coronary artery spasm induced by intravenous administration of methyl ergometrine maleate just after delivery. Despite the frequent usage of ergot derivatives to promote uterine contractions, cardiac complications related to this drug are rare. Myocardial infarction may be overlooked in young women in the early postpartum period. Careful monitoring and prompt evaluation should be performed when this drug is administered for obstetrical purposes.
(Internal Medicine 42: 983-986, 2003)

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