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Case Reports
. 2021 Feb 9;14(2):e240022.
doi: 10.1136/bcr-2020-240022.

Spontaneous coronary artery dissection in association with cabergoline therapy

Zia Saleh  1 , Susan Koshy  2 , Vaninder Sidhu  2 , Andrea Opgenorth  3 , Janek Senaratne  4
Affiliations
Case Reports

Spontaneous coronary artery dissection in association with cabergoline therapy

Zia Saleh et al. BMJ Case Rep. .

Abstract

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.

Keywords: cardiovascular medicine; drugs: endocrine system.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
ECGs demonstrating baseline (top), preangiogram hyperacute T-waves (middle) and postangiogram (bottom) ST changes and T-wave inversions.
See this image and copyright information in PMC

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