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Case Reports
. 2009 Oct;25(10):e359-60.
doi: 10.1016/s0828-282x(09)70724-x.

Acute myocardial infarction due to vasospasm induced by prostaglandin

Chong Won Sung  1 , Jae-Hun Jung, Sang-Hak Lee, Kyung Min Lee, Byung Moo Ahn, Seonghoon Choi, Jung Rae Cho, Nanho Lee, Keun-Young Lee
Affiliations
Case Reports

Acute myocardial infarction due to vasospasm induced by prostaglandin

Chong Won Sung et al. Can J Cardiol. 2009 Oct.

Abstract
in English, French

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.

La prostaglandine E (PGE) est l’agent favorisé en cas d’interruption de grossesse du deuxième trimestre. On a déclaré des cas d’hypotension, de bradycardie, d’arythmies ventriculaires, d’infarctus du myocarde, d’arrêt cardiaque et de décès associés à la PGE. Le présent rapport expose un cas d’infarctus aigu du myocarde causé par un vasospasme coronaire induit par la PGE. L’électrocardiographie et la coronarographie ont confirmé le diagnostic.

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Figures

Figure 1)
Figure 1)
Electrocardiograms. A ST elevation in leads II, III and aVF. B Accelerated idioventricular rhythm
Figure 2)
Figure 2)
Right coronary angiogram. A Stenotic lesions at multiple focal sites. B Spasm was reversed after intracoronary nitroglycerin administration
See this image and copyright information in PMC

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