A 55-year-old man demonstrated typical reflux esophagitis, not esophag
eal spasm, by esophageal manometry, although he demonstrated classic m
igraine, positive Raynaud's scan, and proven coronary artery spasm. He
suffered from severe chest pain by medication of ergotamine tartrate.
Ergot alkaloids should be avoided in patients with symptomatic corona
ry artery spasm.