Post-partum myocardial ischemia due to intramuscular methylergonovine-induced coronary vasospasm: case report.

Author: BerlacherKathryn, HauspurgAlisse, JangSae K

Paper Details 
Original Abstract of the Article :
BACKGROUND: Methylergonovine is a vasoconstrictive agent historically used as a provocative agent in the lab for coronary vasospasm; it is also a first line uterotonic agent for management of postpartum hemorrhage. CASE PRESENTATION: A 29-year-old female with history of smoking and idiopathic throm...See full text at original site
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引用元:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10109221/

データ提供:米国国立医学図書館(NLM)

Postpartum Myocardial Ischemia: A Rare but Serious Complication

The miracle of childbirth brings joy and excitement, but sometimes complications can arise, and it's crucial to be aware of these potential challenges. This case report investigates a rare but potentially life-threatening complication, postpartum myocardial ischemia, caused by the use of methylergonovine, a medication commonly used to prevent postpartum hemorrhage. This research underscores the importance of recognizing and managing this rare but serious condition, as it can lead to significant health risks for new mothers.

Methylergonovine and the Risk of Myocardial Ischemia

The case report describes a 29-year-old woman who experienced chest pain and significant cardiac abnormalities after receiving methylergonovine following childbirth. The investigation revealed that methylergonovine-induced coronary vasospasm was the likely cause of the patient's myocardial ischemia. This finding highlights the potential for methylergonovine, a medication that is commonly used to manage postpartum hemorrhage, to cause severe cardiovascular complications in some individuals.

Awareness and Prompt Management: Critical for Mother's Safety

This research emphasizes the importance of early recognition and prompt management of methylergonovine-induced coronary vasospasm. It's like a desert traveler encountering a hidden oasis, providing a life-saving resource in a potentially perilous situation. This case report underscores the need for healthcare professionals to be vigilant in monitoring patients receiving methylergonovine, especially those with underlying risk factors. Prompt identification and administration of appropriate treatments, such as nitroglycerin, can help prevent severe complications and protect the health of new mothers.

Dr.Camel's Conclusion

This case report serves as a powerful reminder that even seemingly routine medical procedures can sometimes lead to unexpected complications. It emphasizes the importance of vigilance, prompt action, and the continuous pursuit of knowledge to improve patient safety and provide the best possible care for new mothers.

Date :
  1. Date Completed 2023-04-19
  2. Date Revised 2023-05-03
Further Info :

Pubmed ID

37069508

DOI: Digital Object Identifier

PMC10109221

Related Literature

SNS
PICO Info
in preparation
Languages

English

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