Key result
Administration of ergometrine induced coronary artery spasm leading to post partum cardiac arrest in a 28-year-old female, who subsequently made a full recovery.
Case Report (n=1)
Highlights the risk of coronary artery spasm and cardiac arrest due to ergot derivatives in post partum patients.
Answers are grounded in this paper and cite their sources.
Ergometrine warrants vigilance for vasospasm in postpartum arrest; this case leaves open incidence and prevention data.
Summary We present a rare case of post partum cardiac arrest secondary to coronary artery spasm induced by the administration of ergometrine. A 28‐year‐old female of Chinese ethnicity suffered a cardiac arrest shortly after the delivery of a healthy term baby via spontaneous vaginal delivery. The underlying cause was determined to be vasospasm secondary to ergometrine, coupled with a low output state following a post partum haemorrhage. Following treatment she made a full recovery. This case highlights several key learning points; a reminder of the need to consider and recognise cardiac disease as a cause for maternal collapse and arrest, the possibility of coronary artery spasm due to administration of ergot derivatives and the increased susceptibility to vasospasm in specific populations.
No takes yet. Share an insight, caveat, or question.
Zucco et al. (2017) conducted a case report in Post partum cardiac arrest secondary to coronary vasospasm (n=1). Ergometrine was evaluated on Cardiac arrest. Administration of ergometrine induced coronary artery spasm leading to post partum cardiac arrest in a 28-year-old female, who subsequently made a full recovery.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: