Cardiovascular complications following medical termination of pregnancy: An updated review

Table 4 Patients with arrhythmia following medical termination of pregnancy

No.	Age	Clinical details	Arrythmia observed	Possible mechanism for arrythmia	Treatment given	Outcome	Ref.
1	NA, 2nd trimester	Induced by PGF2a	Bradycardia	Drug induced hypokalemia	NA	NA	[37]
2	32 yr, 20th wk gestation	Induced by PGF2a	Bradycardia and hypotension	PG acting on ventricular receptor	IV RL, 0.5 mg atropine no response	F/u 1 mo EKG and echo normal	[38]
3	37 yr, 10 wk gestation	In miscarriage	Bradyarrythmia	POC through cervix trigger vagal stimulation	POC removed	EKG normal on F/u	[39]
4	42 yr, 12 wk gestation	Miscarriage, with lower abdominal pain	Bradyarrythmia with hypotension. USG TVS: POC in UC	POC through cervix, triggering vagus	POC removed	BP and HR improved	[40]
5	Age: NA, 2nd trimester	Induced by PGF2α and IV oxytocin	Bradycardia, hypothermia and hypotension	Rupture of the cervix	NA	NA	[41]

PGF2a: Prostaglandin F2 alpha; NA: Not available; USG: Ultrasound; TVS: Transvaginal ultrasound; POC: Product of conception; UC: Uterine cavity; RL: Ringer lactate; F/u: Follow-up; EKG: Electrocardiogram; BP: Blood pressure; HR: Heart rate.