Roithinger F X, Punzengruber C, Gremmel F, Hinterreiter M, Holzner F, Pachinger O
Department of Cardiology, Krankenhaus der Barmherzigen Schwestern, Wels, Austria.
Eur Heart J. 1993 Nov;14(11):1579-81. doi: 10.1093/eurheartj/14.11.1579.
As a result of chronic ergotamine abuse, reversible arterial narrowing has been documented angiographically in peripheral, but not in coronary arteries. We report on a patient with no cardiovascular risk factors, but because of chronic ergotamine abuse suffered on acute myocardial infarction, complicated by ventricular fibrillation. Coronary angiography performed 3 days after resuscitation revealed a distal occlusion of the left anterior descending artery. Three months later, spontaneous recanalization had occurred, and no residual narrowing was seen angiographically. Thus, surveillance of patients with migraine headache to avoid chronic ergotamine abuse is recommended to prevent cardiovascular complications.
长期滥用麦角胺的结果是，血管造影显示外周动脉出现可逆性狭窄，而冠状动脉未出现。我们报告一例患者，该患者无心血管危险因素，但因长期滥用麦角胺发生急性心肌梗死，并并发心室颤动。复苏后3天行冠状动脉造影显示左前降支远端闭塞。3个月后，出现自发再通，血管造影未见残余狭窄。因此，建议对偏头痛患者进行监测，以避免长期滥用麦角胺，预防心血管并发症。
