ACUTE CORONARY SYNDROME INDUCED BY INTRAVENOUS EPHEDRINE IN PREGNANT WOMAN WITH NORMAL CORONARIES.
Main Article Content
Keywords
ephedrine, myocardial infarction, cesarean section
Abstract
Intravenous ephedrine administered during a C-section was observed to cause an acute coronary syndrome in a pregnant woman with normal coronaries. The patient developed sub-sternal chest pain, was noted to have 10 beats of non-sustained ventricular tachycardia, ST abnormalities were observed on her ECG and cardiac enzymes were elevated. The patient had normal coronary arteries by angiogram and during a one-year period of follow up no further cardiac events occurred
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5. Movesesian MA, Wray RB. Postpartum myocardial infarction. Br Heart J 1989; 62:154-6.
6. Rallings P, Exner T, Abraham R. Coronary artery vasculitis and myocardial infarction associated with antiphospholipid antibodies in pregnant woman. Aust N Z Med 1989; 19: 347-50.
7. Liu SS, Forrester RM, Murphy GS, Chen K, Glassenberg R. Anesthetic management of a parturient with myocardial infarction related to cocaine use. Can J
Anaesth 1992; 39:858-61.
8. Nolan TE, Savage RW. Peripartum myocardial infarction from presumed Kawasaki’s disease. South Med J 1990; 83:1360-1.
9. Hirabayashi Y, Saitoh K , Fukuda H, Mitsuhata H, Shimizu R. Coronary artery spasm after ephedrine in a patient with high spinal anesthesia. Anesthesiology
1996; 84:221-4.