ACUTE MYOCARDIAL-INFARCTION AFTER ERGONOVINE ADMINISTRATION FOR UTERINE BLEEDING

Acute myocardial infarction during pregnancy and in the postpartum period is a rare occurrence of uncertain etiology.1 It has been reported in women with atherosclerotic coronary artery disease, diabetes mellitus and systemic hypertension.2 In women with normal coronary angiograms, however, no clear and consistent etiology can be found. A few cases did involve patients receiving ergot derivatives, but the events were poorly documented and established only by retrospective association. We report a patient who sustained an acute myocardial infarction after receiving methylergonovine for excessive uterine bleeding after a first trimester spontaneous abortion. The cardiac event was promptly recognized and treated, resulting in a relatively benign postmyocardial infarction course. © 1991.