Coronary vasospasm associated with uncontrolled carcinoid tumour
| Autor: | Arie Ben-Yehuda, C. Lotan, M. Shalit, Mordechai Muszkat |
|---|---|
| Rok vydání: | 2000 |
| Předmět: |
medicine.medical_specialty
Antineoplastic Agents Hormonal Urinary system Myocardial Infarction Coronary Vasospasm Octreotide Carcinoid Tumor Chest pain Electrocardiography Internal medicine Internal Medicine medicine Humans Carcinoid tumour Myocardial infarction Angioplasty Balloon Coronary Aged business.industry Hydroxyindoleacetic Acid medicine.disease Pathophysiology Surgery Coronary vasospasm Cardiology Neoplasms Unknown Primary Female medicine.symptom business Vasoconstriction medicine.drug |
| Zdroj: | Journal of Internal Medicine. 247:295-298 |
| ISSN: | 1365-2796 0954-6820 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
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