Spontaneous coronary artery dissection in association with cabergoline therapy.

BMJ Case Rep

Division of Cardiology, Department of Medicine, University of Alberta Hospital, University of Alberta, Edmonton, Alberta, Canada

Published: February 2021

Spontaneous coronary artery dissection (SCAD) is a rare but increasingly recognised cause of acute coronary syndrome. While numerous risk factors are associated with SCAD, one potential cause is coronary artery vasospasm. The use of cabergoline-an ergot derivative and dopamine agonist that may induce vasospasm-has been associated with SCAD in one other case report worldwide. Here, we describe SCAD in a 37-year-old woman on long-term cabergoline therapy with no other cardiac risk factors. Cabergoline-induced SCAD should be considered in patients presenting with an acute coronary syndrome who are treated with this medication.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7875262PMC
http://dx.doi.org/10.1136/bcr-2020-240022DOI Listing

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