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Chest, Vol 105, 1259-1260, Copyright © 1994 by American College of Chest Physicians

ARTICLES

Variant angina complicating ergot therapy of migraine

KK Koh, IH Roe, MM Lee, SK Cho and SS Kim
Division of Cardiology, Inha University Hospital, Sungnam-si, Kyunggi- do, Korea.

A 55-year-old man demonstrated typical reflux esophagitis, not esophageal spasm, by esophageal manometry, although he demonstrated classic migraine, 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 coronary artery spasm.


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