MYOCARDIAL INFARCTION AFTER CESAREAN SECTION UNDER SPINAL ANESTHESIA DURING TREATMENT WITH OXYTOCIN AND METILERGOMETRIN (CLINICAL OBSERVATION)
The article presents a clinical observation of myocardial infarction after cesarean section performed under spinal anesthesia with the use of uterotonics. We believe that the use of metilergometrina increases the risk of acute myocardial miokarda (AMI), and use of the drug should be carried out strictly according to the testimony, with the obligatory informing Anaesthetist. Management of obstetric patients with AMI depends on its pathogenesis. In the case described by us, in vasospastic (netromboticheskom pathogenesis) of AMI, thrombolysis or emergency coronary angiography is impractical in the rest of the standard therapy.