misoprostol and Coronary-Artery-Disease

To describe a case of early pregnancy failure in a patient who was not an optimal candidate for suction aspiration because of her body habitus and history of a myocardial infarction that was treated medically with misoprostol.. Case report.. Academic tertiary-care hospital.. A 43-year-old woman with morbid obesity, coronary artery disease, previous myocardial infarction, obstructive sleep apnea, and other medical problems who presented with an early pregnancy failure.. Medical management with 800 microg of vaginal misoprostol in an inpatient setting with cardiac monitoring.. Ultrasonographic resolution of intrauterine pregnancy, vaginal bleeding, and cardiac events.. No gestational sac was visualized by ultrasound on the second hospital day, the patient's hemoglobin value at discharge was 12.1 mg/dL, and no adverse cardiac events occurred.. Medical management with misoprostol on an inpatient basis is a possible alternative to dilation and curettage in patients with complex medical problems and early pregnancy failure.

Topics: Abortion, Incomplete; Adult; Coronary Artery Disease; Disease Management; Female; Humans; Misoprostol; Pregnancy; Pregnancy Complications