Acute myocardial infarction due to vasospasm induced by prostaglandin.

Sung, Chong Won; Jung, Jae-Hun; Lee, Sang-Hak; Lee, Kyung Min; Ahn, Byung Moo; Choi, Seonghoon; Cho, Jung Rae; Lee, Nanho; Lee, Keun-Young
The Canadian journal of cardiology
2009Oct ; 25 ( 10 ) :e359-60.
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Sung, Chong Won -
Jung, Jae-Hun -
Lee, Sang-Hak -
Lee, Kyung Min -
Ahn, Byung Moo -
Choi, Seonghoon -
Cho, Jung Rae -
Lee, Nanho -
Lee, Keun-Young -
ABSTRACT
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.
Administration, Intravaginal, Adult, Alprostadil/administration & dosage/*adverse effects, Coronary Angiography, Coronary Vasospasm/*chemically induced/complications/diagnosis, Electrocardiography, Female, Humans, Myocardial Infarction/diagnosis/*etiology/physiopathology, Pregnancy, *Pregnancy Complications, Cardiovascular, Pregnancy Outcome, Vasodilator Agents/administration & dosage/adverse effects
MESH
Administration, Intravaginal, Adult, Alprostadil/administration & dosage/*adverse effects, Coronary Angiography, Coronary Vasospasm/*chemically induced/complications/diagnosis, Electrocardiography, Female, Humans, Myocardial Infarction/diagnosis/*etiology/physiopathology, Pregnancy, *Pregnancy Complications, Cardiovascular, Pregnancy Outcome, Vasodilator Agents/administration & dosage/adverse effects
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Acute myocardial infarction due to coronary vasospasm induced by PGE was reported.
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