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

ABSTRACT:

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 thrombocytopenia received intramuscular methylergonovine after delivery of twins for intrauterine hemorrhage management. Subsequently, she had episodes of chest pain with high sensitivity Troponin I elevation to 1509 ng/L with accompanying septal T wave inversions, decreased left ventricular ejection fraction to 49% and basal septal wall hypokinesis. Computed tomography (CT) coronary angiogram showed patent coronary arteries and no coronary arterial dissection. The patient was conservativ

SUBMITTER: Jang SK 

PROVIDER: S-EPMC10109221 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature