Austin S M, el-Hayek A, Comianos M, Tamulonis D J
Department of Internal Medicine, St Elizabeth Hospital Medical Center, Youngstown, Ohio 44501-1790.
South Med J. 1993 Oct;86(10):1179-81. doi: 10.1097/00007611-199310000-00024.
A 43-year-old woman with symptoms and signs of congestive heart failure and intermittent claudication was found to have moderately severe mitral stenosis and regurgitation, as well as severe bilateral upper and lower extremity arterial occlusive disease. She had a history of migraine headaches and had abused ergotamine tartrate (Cafergot) chronically for more than 20 years. Only rare instances of valvular heart disease have been associated with chronic ergotamine toxicity, with the majority of previously reported cases based on auscultatory findings alone.
一名43岁女性，有充血性心力衰竭和间歇性跛行的症状及体征，被发现患有中度严重的二尖瓣狭窄和反流，以及严重的双侧上下肢动脉闭塞性疾病。她有偏头痛病史，长期滥用酒石酸麦角胺（卡啡因）超过20年。仅有罕见的瓣膜性心脏病病例与慢性麦角胺毒性有关，之前报告的大多数病例仅基于听诊结果。
