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Inicio Revista Española de Anestesiología y Reanimación (English Edition) Second-degree atrioventricular block after administration of methylergometrine f...
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Vol. 68. Issue 8.
Pages 487-490 (October 2021)
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Vol. 68. Issue 8.
Pages 487-490 (October 2021)
Case report
Second-degree atrioventricular block after administration of methylergometrine for treatment of uterine atony during cesarean section
Bloqueo auriculoventricular de segundo grado tras administración de metilergometrina para el tratamiento de la atonía uterina durante una cesárea
J.Á. Torres Dios
Corresponding author
jatorresdios@gmail.com

Corresponding author.
, S. Pérez Benítez
Servicio de Anestesiología y Reanimación, Complejo Hospitalario Universitario de Canarias, San Cristóbal de La Laguna, Santa Cruz de Tenerife, Spain
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Abstract

Mortality due to cardiovascular disease in pregnancy is a growing problem in developed countries, being nowadays the leading cause of maternal death. Within this group, the most common cause of death are congenital or acquired heart diseases, representing a challenge in the management of these patients, since the pregnancy-related physiological alterations can impair their basal condition and treatment.

We present the case of a 34-year-old patient, without any relevant pathological antecedents, who developed a second-degree atrioventricular block, Mobitz type I, following the administration of methylergometrine during cesarean section due to failure to progress in labour. We emphasize the importance of considering the side effects of commonly used drugs in pregnant patients, despite rare possibility of some adverse reactions.

Keywords:
Obstetrics
Cardiovascular disease
Uterotonic drugs
Drug side effects
Methylergometrine
Uterine atony
Resumen

La mortalidad por causa cardiovascular en la embarazada es un problema creciente en el mundo desarrollado, siendo actualmente la principal causa de muerte materna. Dentro de este grupo, lo más frecuente son las cardiopatías, congénitas o adquiridas, que representan un reto en el manejo de estas pacientes, pues los cambios fisiológicos inducidos por el embarazo pueden agravar la situación basal y el control de dichas patologías.

Presentamos el caso de una mujer de 34 años, sin antecedentes de interés, que presentó un bloqueo auriculoventricular de segundo grado Mobitz I, tras la administración de metilergometrina durante el transcurso de una cesárea por no progreso del parto. Recalcamos la importancia de tener en consideración los efectos adversos, por escasa que sea su incidencia, de la medicación de uso más habitual en las mujeres gestantes.

Palabras clave:
Obstetricia
Enfermedad cardiovascular
Uterotónicos
Reacciones adversas medicamentosas
Metilergometrina
Atonía uterina

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