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KMID : 0357820050290010052
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Korean Journal of Legal Medicine
2005 Volume.29 No. 1 p.52 ~ p.55
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Forensic Consideration of Postpartum Acute Myocardial Infarction Associated with Ergot Derivatives Administration in Old Aged Woman: A Case Report
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Eom Min-Seob
Kim Young-Joo
Kim Youn-Shin
Lee Han-Young
Lee Ho
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Abstract
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Cases of acute myocardial infarction (AMI) that occurs during pregnancy or postpartum are rarely reported. Ergot derivatives were known to induce spasmodic contraction of coronary arteries. Administration of ergot derivatives can cause AMI even in normal healthy people. Several cases are also reported that ergot derivatives may trigger severe AMI in postpartum period. Here, we report a case of a forty-year-old pregnant woman who was succeeded to be pregnant by artificial fertilization died after treatment with ergot derivatives. Examinations of autopsy have revealed AMI with severe coronary atherosclerosis. This case is the first report which shows aggravation of preexistent severe coronary atherosclerosis after postpartum infusion of ergot derivatives.
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KEYWORD
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Autopsy, Myocardial infarction, Aged, Postpartum, Ergot alkaloids
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