塩酸リトドリンの投与により母体に心筋虚血を認めた1例

概要

論文の詳細を見る
Ritodrine hydrochloride is widely used for the treatment of preterm labor but several side effects including pulmonary edema and agranulocytosis have been reported. To our knowledge, there are only a few reports on myocardial ischemia as a complication of ritodrine tocolysis in Japanese women. We present here a case of myocardial ischemia during treatment with intravenous ritodrine infusion in the third trimester. Increased cardiac work stimulated by β-sympathomimetics as well as marked hemodynamic changes during pregnancy might be involved in the development of myocardial ischemic change. We should pay attention to symptoms such as acute chest pain during treatment with ritodrine tocolysis in order not to miss a diagnosis of myocardial ischemia.
社団法人日本産科婦人科学会の論文
2002-06-01