[Variant angina pectoris related to the treatment of migraine].
A 54 years-old man with a history of migraine, suffered from chest pain together with ST-segment elevation related to the intake of drugs against migraine attacks. The coronary arteriography showed normal coronary arteries. We suggest coronary artery spasm as the most probable cause of ischemia. We conclude that vasoactive drugs against migraine must be utilized with caution, or even avoided in patients with chest pain suggestive of myocardial ischemia.
Gómez Barrado
J J
JJ
Unidad Coronaria, Hospital Universitario Virgen Macarena, Sevilla.
Turégano Albarrán
S
S
García Rubira
J C
JC
Hidalgo Urbano
R
R
Rodríguez Revuelta
M
M
Pérez Leal
I
I
García Martínez
J T
JT
González López
M
M
Cruz Fernández
J M
JM
D000082:Acetaminophen / Q000008:administration & dosage; D018712:Analgesics, Non-Narcotic / Q000008:administration & dosage; D000788:Angina Pectoris, Variant / Q000139:chemically induced* / Q000175:diagnosis; D004338:Drug Combinations; D004452:Echocardiography; D004562:Electrocardiography; D004878:Ergotamine / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000188:drug therapy*; D013488:Suppositories; D014662:Vasoconstrictor Agents / Q000008:administration & dosage / Q000009:adverse effects*
D018712:Analgesics, Non-Narcotic; D004338:Drug Combinations; D013488:Suppositories; D014662:Vasoconstrictor Agents; D000082:Acetaminophen; D004878:Ergotamine
Angina variante en relación con el tratamiento de la migranña.