TY - JOUR
T1 - Coronary vasospasm associated with uncontrolled carcinoid tumour
AU - Muszkat, M.
AU - Shalit, M.
AU - Lotan, C.
AU - Ben-Yehuda, Arie
PY - 2000
Y1 - 2000
N2 - 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.
AB - 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.
KW - Carcinoid
KW - Coronary vasospasm
KW - Ischaemic heart disease
UR - http://www.scopus.com/inward/record.url?scp=0033956477&partnerID=8YFLogxK
U2 - 10.1046/j.1365-2796.2000.00634.x
DO - 10.1046/j.1365-2796.2000.00634.x
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C2 - 10692094
AN - SCOPUS:0033956477
SN - 0954-6820
VL - 247
SP - 295
EP - 298
JO - Journal of Internal Medicine
JF - Journal of Internal Medicine
IS - 2
ER -