Variant angina complicating ergot therapy of migraine.
A 55-year-old man demonstrated typical reflux esophagitis, not esophageal spasm, by esophageal manometry, although he demonstrated classic migraine, positive Raynaud's scan, and proven coronary artery spasm. He suffered from severe chest pain by medication of ergotamine tartrate. Ergot alkaloids should be avoided in patients with symptomatic coronary artery spasm.
Koh
K K
KK
Division of Cardiology, Inha University Hospital, Sungnam-si, Kyunggi-do, Korea.
Roe
I H
IH
Lee
M M
MM
Cho
S K
SK
Kim
S S
SS
D000788:Angina Pectoris, Variant / Q000139:chemically induced / Q000150:complications*; D000075202:Contraindications; D004878:Ergotamine / Q000009:adverse effects*; D004942:Esophagitis, Peptic / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000150:complications / Q000188:drug therapy*; D011928:Raynaud Disease / Q000150:complications
D004878:Ergotamine