Journal List > Korean J Obstet Gynecol > v.55(8) > 1088496

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Kim, Song, Choi, Kim, and Kim: Maternal cardiac arrest after intravenous methylergonovine administration during Cesarean section: A case report
Case Report
Korean Journal of Obstetrics & Gynecology

Korean Journal of Obstetrics & Gynecology 2012; 55(8): 578-581.

Published online: 17 August 2012

DOI: https://doi.org/10.5468/KJOG.2012.55.8.578

Maternal cardiac arrest after intravenous methylergonovine administration during Cesarean section: A case report

Hyun-Jung Kim, MD, Tae-Bok Song, MD, Ri-Na Choi, MD, Jong-Woon Kim, MD, Yoon-Ha Kim, MD

Department of Obstetrics and Gynecology, Chonnam National University Medical School, Gwangju, Korea.

Corresponding author: Tae-Bok Song, MD. Department of Obstetrics and Gynecology, Chonnam National University Medical School, 42 Jebong-ro, Dong-gu, Gwangju 501-757, Korea. Tel: +82-62-220-6373, Fax: +82-62-227-1637, tbsong@chonnam.ac.kr

Received 30 March 2012       Accepted 30 May 2012

Copyright © 2012. Korean Society of Obstetrics and Gynecology

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Methylergonovine is commonly used for the prevention and treatment of postpartum hemorrhage, which promotes contractions of uterine and vascular smooth muscles. However, this drug precipitates serious cardiac complications such as ischemic heart disease, acute myocardial infarction and cardiac arrest in some patients as a consequence of coronary artery spasm. Cardiac complication of methylergonovine is often overlooked by an obstetrician because the frequency of this is very low during postpartum. We report a case of maternal cardiac arrest induced by intravenous methylergonovine which was recovered by prompt cardiac resuscitation and adequate medical treatment during Cesarean section of triplet pregnancy.

Keywords: Methylergonovine, Cardiac arrest, Cesarean section

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