<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:creator>Weder CR</dc:creator>
  <dc:creator>Schneemann M</dc:creator>
  <dc:date>2009</dc:date>
  <dc:description xmlns:ns0="xml" ns0:lang="en">This case report describes for the first time acute coronary syndrome in a 67-year old patient after oral intake of naratriptan for migraine. So far in the literature, only sumatriptan, zolmitriptan and frovatriptan have been described to cause acute coronary syndromes. A 67-year old Swiss woman with thoracic pain after intake of 2.5 mg naratriptan presented with T-wave inversions in the ECG and a positive troponin-T at our hospital. Coronary angiography showed normal coronary arteries. Naratriptan-induced coronary vasospasms were thought to have caused the acute coronary syndrome.Triptans should not be prescribed in patients with pre-existing coronary heart disease. However, triptans can also cause acute coronary syndromes in patients without coronary heart disease--as described in our case report. Severe or persistent thoracic pain after intake of triptans should therefore be investigated accordingly.</dc:description>
  <dc:identifier>https://sonar.ch/global/documents/4378</dc:identifier>
  <dc:language>eng</dc:language>
  <dc:relation>info:eu-repo/semantics/altIdentifier/doi/10.1186/1750-1172-4-15</dc:relation>
  <dc:relation>info:eu-repo/semantics/altIdentifier/pmid/19538745</dc:relation>
  <dc:source>Orphanet journal of rare diseases. - 2009</dc:source>
  <dc:subject xmlns:ns1="xml" ns1:lang="en">Acute Coronary Syndrome</dc:subject>
  <dc:subject xmlns:ns2="xml" ns2:lang="en">Aged</dc:subject>
  <dc:subject xmlns:ns3="xml" ns3:lang="en">Electrocardiography</dc:subject>
  <dc:subject xmlns:ns4="xml" ns4:lang="en">Female</dc:subject>
  <dc:subject xmlns:ns5="xml" ns5:lang="en">Humans</dc:subject>
  <dc:subject xmlns:ns6="xml" ns6:lang="en">Migraine Disorders</dc:subject>
  <dc:subject xmlns:ns7="xml" ns7:lang="en">Piperidines</dc:subject>
  <dc:subject xmlns:ns8="xml" ns8:lang="en">Serotonin Agents</dc:subject>
  <dc:subject xmlns:ns9="xml" ns9:lang="en">Treatment Outcome</dc:subject>
  <dc:subject xmlns:ns10="xml" ns10:lang="en">Troponin T</dc:subject>
  <dc:subject xmlns:ns11="xml" ns11:lang="en">Tryptamines</dc:subject>
  <dc:title xmlns:ns12="xml" ns12:lang="en">Triptans and troponin: a case report.</dc:title>
  <dc:type>http://purl.org/coar/resource_type/c_6501</dc:type>
</oai_dc:dc>