gemeprost and Angina-Pectoris--Variant

A case of vasospastic angina pectoris with loss of consciousness, bradycardia and seizures induced by medical abortion following administration of mifepristone and gemeprost is reported. The patient had a history of smoking and migraine, and former treatment with ergot alkaloids or serotonin agonists had also resulted in chest pain and lipothymia. The case underlines the importance of obtaining a detailed history of vasospastic disorders in women referred for medical abortion.

Topics: Abortifacient Agents, Steroidal; Abortion, Induced; Adult; Alprostadil; Angina Pectoris, Variant; Electrocardiography; Female; Humans; Mifepristone; Pregnancy; Prostaglandins E, Synthetic