Coronary vasospasm associated with uncontrolled carcinoid tumour

Citation
M. Muszkat et al., Coronary vasospasm associated with uncontrolled carcinoid tumour, J INTERN M, 247(2), 2000, pp. 295-298
Citations number
11
Categorie Soggetti
General & Internal Medicine","Medical Research General Topics
Journal title
JOURNAL OF INTERNAL MEDICINE
ISSN journal
09546820 → ACNP
Volume
247
Issue
2
Year of publication
2000
Pages
295 - 298
Database
ISI
SICI code
0954-6820(200002)247:2<295:CVAWUC>2.0.ZU;2-Z
Abstract
We report on a 74-year-old carcinoid patient who, following acute myocardia l infarction (MI) and percutaneous transluminal coronary angioplasty, suffe red recurrent episodes of chest pain and ST-segment elevation on ECG. This was accompanied by elevation of urinary 5-hydroxy-indole acetic acid. A rev iew 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 octreot ide. 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.