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Coronary vasospasm associated with uncontrolled carcinoid tumour
Author(s) -
Muszkat M.,
Shalit M.,
Lotan C.,
BenYehuda A.
Publication year - 2000
Publication title -
journal of internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.625
H-Index - 160
eISSN - 1365-2796
pISSN - 0954-6820
DOI - 10.1046/j.1365-2796.2000.00634.x
Subject(s) - medicine , chest pain , octreotide , myocardial infarction , carcinoid syndrome , vasospasm , heparin , cardiology , coronary vasospasm , st elevation , surgery , angina , subarachnoid hemorrhage , somatostatin
. Muszkat M, Shalit M, Lotan C, Ben‐Yehuda A (Hadassah University Hospital, Jerusalem, Israel). Coronary vasospasm associated with uncontrolled carcinoid tumour (Case Report). J Intern Med 2000; 247: 295–298. We report on a 74‐year‐old carcinoid patient who, following acute myocardial infarction (MI) and percutaneous transluminal coronary angioplasty, suffered recurrent episodes of chest pain and ST ‐segment elevation on ECG. This was accompanied by elevation of urinary 5‐hydroxy‐indole acetic acid. A review of the patient’s file revealed that during the 3 weeks prior to the MI, she had been treated inadvertently with a fivefold lower dosage of octreotide. Following the correction of octreotide dosage, episodes of chest pain resolved immediately. We therefore suggest that this patient suffered from recurrent coronary vasospasm due to uncontrolled carcinoid tumour.