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Title: A case of coronary spasm induced by 5-fluorouracil. Author: Gorgulu S, Celik S, Tezel T. Journal: Acta Cardiol; 2002 Oct; 57(5):381-3. PubMed ID: 12405579. Abstract: Cardiotoxicity is an uncommon adverse effect of 5-fluorouracil (5-FU). Coronary artery spasm has been postulated to be involved in the mechanism of this incident Patients may present with angina, myocardial infarction, arrhythmias and/or even sudden death. When the drug is readministered, there is a high risk of relapse. The underlying mechanisms of cardiotoxicity are not yet fully understood, although coronary vasospasm may be responsible. We report one woman receiving 5-fluorouracil therapy with typical chest pain and electrocardiographic changes consistent with acute coronary syndrome. A resolving pain and normalisation of ECG changes with nitrate therapy and normal coronary arteries indicate that this incident was about a coronary spasm caused by 5-FU.[Abstract] [Full Text] [Related] [New Search]