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Journal of Obstrectic Anaesthesia and Critical Care
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Year : 2011  |  Volume : 1  |  Issue : 2  |  Page : 85-87

Misoprostol-induced pulmonary edema in a parturient with postpartum cardiomyopathy

Department of Anesthesia and Intensive Care, All India Institute of Medical Sciences, New Delhi, India

Correspondence Address:
Vimi Rewari
Department of Anaesthesiology, AIIMS
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2249-4472.93993

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Misoprostol, a synthetic prostaglandin E1 (PGE1) analogue, although not the first-line drug in the management of postpartum hemorrhage, is frequently used for this purpose due to its safety profile and cost-effectiveness. Cardio-pulmonary complications have been previously reported with use of prostaglandin analogues but not with misoprostol. We describe a case of pulmonary edema after the use of vaginal misoprostol for treatment of postpartum vaginal bleed in an otherwise healthy asymptomatic patient, who was later diagnosed as a case of peripartum cardiomyopathy.

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