Copyright © 1990 by the European Society of Cardiology.
© 1990 The European Society of Cardiology
Methylergometrine-induced coronary artery spasm causing total occlusion of all three coronary arteries
Service de Cardiologie B, CHU Nancy-Brabois Vandoeuvre, France
Received 13 October 1989; revised 5 February 1990; .
Address for reprints: Nicolas Danchin MD, Service de Cardiologie B, CHU Nancy-Brabois, 54500 Vandoeuvre, France.
Abstract
In a 58-year-old man with rheumatic mitral valve disease and nocturnal chest pain of recent onset, intravenous injection of 0.4 mg methylergometrine during coronary angiography resulted in the total occlusion of all three angiographically normal coronary arteries, with electromechanical dissociation. Intravenous isosorbide dini-trate failed to relieve coronary spasm which had to be treated by intracoronary administration of nitrates and nifedipine.
Key Words: Variant angina coronary spasm ergonovine methylergometrine