• Can J Clin Pharmacol · Jan 2004

    Case Reports

    Acute coronary syndrome induced by intravenous ephedrine in pregnant woman with normal coronaries.

    • Alexander Gedevanishvili, Antonio Chamoun, Barry F Uretsky, and Atiar M Rahman.
    • Division of Cardiology, University of Texas Medical Branch, Galveston, USA.
    • Can J Clin Pharmacol. 2004 Jan 1;11(2):e195-8.

    AbstractIntravenous ephedrine administered during a C-section was observed to cause an acute coronary syndrome in a pregnant woman with normal coronaries. The patient developed sub-sternal chest pain, was noted to have 10 beats of non-sustained ventricular tachycardia, ST abnormalities were observed on her ECG and cardiac enzymes were elevated. The patient had normal coronary arteries by angiogram and during a one-year period of follow up no further cardiac events occurred.

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