Transient sick sinus syndrome with complete atrioventricular block associated with ergonovine intake: A case report.

Abstract:

RATIONALE:More mature or older women are more likely to undergo in vitro fertilization and embryo implant. These women have a greater chance of receiving ergonovine therapy because of a suspected abortion. We present this case report to call attention to a latent lethal adverse effect in everyday obstetric practice using ergonovine. It requires more attention and close monitoring PATIENT CONCERNS:: We presented the case of a 38-year-old female patient with general weakness and mild chest tightness after ergonovine use. DIAGNOSES:She was diagnosed as transient sick sinus syndrome and complete atrioventricular block with junctional escape rhythm after diagnostic work up. INTERVENTIONS:Conservative treatment with discontinuation of ergonovine and bed rest. OUTCOMES:Her sinus rhythm returned to normal the day after ergonovine was discontinued. The patient remained symptom-free since recovery of her sinus rhythm. LESSONS:Ergonovine may cause symptomatic and lethal bradyarrhythmia. Withdrawal of the causative medication and adequate supportive care can lead to a favorable outcome in these patients. More related cases should be reported. Further evaluation for treatment and prognosis are necessary.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Wang HT,Liu WH,Chen YL

doi

10.1097/MD.0000000000008559

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

e8559

issue

44

eissn

0025-7974

issn

1536-5964

pii

00005792-201711030-00071

journal_volume

96

pub_type

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