title: [An unusual episode of angina].
abstract: The authors report the case of a 77-year-old woman suffering from ischemic cardiopathy, arterial hypertension and NID diabetes mellitus who was hospitalised for diabetic retinopathy. Following the topical administration of a drop of phenylephrine in the right eye, in preparation for fluoroangiography, she suffered an attack of angina pectoris. This event was clearly identified by a ECG carried out at the time which highlighted the sublevelling of the ST tract in the precordial derivations V2-V5, and by ecocardiographic imaging that showed septo-apical, anterior-apical and anterior-median transient segmentary hypokinesia. This case underlines the need for prudence and emphasises the need to regard patients suffering from ischemic cardiopathy as high-risk when undergoing diagnostic tests, in particular if these involve the use of vasoactive drugs.
authors.affiliation: Servizio Autonomo di Cardiologia, Ospedale CTO, ASL Napoli 1.
authors.forename: F
authors.initials: F
authors.lastname: Scotto di Uccio
authors.forename: S
authors.initials: S
authors.lastname: Russo
authors.forename: A M
authors.initials: AM
authors.lastname: Romano
authors.forename: G
authors.initials: G
authors.lastname: Cautela
authors.forename: V
authors.initials: V
authors.lastname: Scotto di Uccio
mesh_terms: D000368:Aged; D000787:Angina Pectoris / Q000139:chemically induced* / Q000175:diagnosis; D003924:Diabetes Mellitus, Type 2; D003930:Diabetic Retinopathy / Q000150:complications* / Q000175:diagnosis; D004562:Electrocardiography; D005260:Female; D006801:Humans; D017202:Myocardial Ischemia / Q000150:complications*; D009883:Ophthalmic Solutions / Q000009:adverse effects; D010656:Phenylephrine / Q000008:administration & dosage* / Q000009:adverse effects; D011247:Pregnancy; D012307:Risk Factors; D014662:Vasoconstrictor Agents / Q000008:administration & dosage* / Q000009:adverse effects
chemical_list: D009883:Ophthalmic Solutions; D014662:Vasoconstrictor Agents; D010656:Phenylephrine
vernacular_title: Un episodio insolito di angina.