title: Myocardial infarction after taking eletriptan.
abstract: We report the case of a 53-year-old male patient with a medical history significant for paroxysmal atrial fibrillation, migraines with visual aura and non-obstructive coronary artery disease, who sustained a non-ST-elevation myocardial infarction a few hours after taking eletriptan as abortive therapy for migraine headaches. We believe this case implies a causal association between eletriptan and myocardial infarction, considering the timing of both drug intake and symptom onset. To the best of our knowledge this is the first reported myocardial infarction attributable to eletriptan overdose in a patient without obstructive coronary artery disease.
authors.affiliation: Western Connecticut Health Network, Danbury, CT, United States; Einstein Medical Center, Department of Cardiology, and Jefferson Medical College, Philadelphia, PA, United States. Electronic address: andremacdias@gmail.com.
authors.forename: Andre
authors.initials: A
authors.lastname: Dias
authors.affiliation: Western Connecticut Health Network, Danbury, CT, United States.
authors.forename: Emiliana
authors.initials: E
authors.lastname: Franco
authors.affiliation: University of Miami, Miller School of Medicine, Cardiology, United States.
authors.forename: Kathy
authors.initials: K
authors.lastname: Hebert
authors.affiliation: University of Nevada School of Medicine, Cardiology, Las Vegas, NV, United States.
authors.forename: Ana
authors.initials: A
authors.lastname: Mercedes
mesh_terms: D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000139:chemically induced*; D011759:Pyrrolidines / Q000009:adverse effects*; D017366:Serotonin Receptor Agonists / Q000009:adverse effects*; D014363:Tryptamines / Q000009:adverse effects*
chemical_list: D011759:Pyrrolidines; D017366:Serotonin Receptor Agonists; D014363:Tryptamines; C115647:eletriptan
keywords: Acute myocardial infarction; Coronary vasospasm; Eletriptan; Eletriptano; Enfarte agudo do miocárdio; Vasoespasmo coronário