Capecitabine-induced vasospasm: a case report
Authors:
Fayez El Shaer,
Ismail R Raslan,
Waleed Al Habeeb,
Mostafa AlShimiri,
Hanan AlBaker,
Khaled Al Habib
Background: Coronary heart disease with acute coronary syndrome (type II myocardial infarction) may be an iatrogenic and a reversible cause with complete recovery after cessation of the accused agent. Case presentation: We present the case of a 52-year-old male patient who had received adjuvant chemotherapy consisting of capecitabine, 3 mg orally once per day, after resection of moderately differentiated invasive adenocarcinoma in the transverse colon. Three days (3 doses) after the initiation of chemotherapy, the patient reported typical anginal chest pain and an electrocardiogram (ECG) indicated ST-segment elevation. A repeat ECG in the catheterization laboratory showed normal results. Echocardiography showed that left ventricular systolic function was moderately to severely reduced. Coronary angiography revealed normal coronary arteries. Conclusion: Capecitabine should be used with caution, as patients receiving this medication might present with symptoms suggestive of acute coronary syndrome that might not always originate from epicardial coronary artery disease. There is always a possibility of vasospasm when a patient is receiving Capecitabine.
Keywords: Keywords: Vasospasm, Chemotherapy, Capecitabine, case-report
Authors
Correspondence to:
Fayez El Shaer, MD,MSC,PHDCBNC,NBE,FESC,ACCP,FASNC,HFA Consultant Cardiology-Associate Professor of Cardiology Cardiac Imaging and Heart Failure Supervisor of Cardiology undergraduate program King Fahad Cardiac Center, King Saud University Medical C elshaerfayez@yahoo.com
Publication history:
Received 04 Oct 2017
Accepted 24 Oct 2017
Published online 26 Nov 2017
Published in print 20 Feb 2018
Fayez El Shaer, Ismail R Raslan, Waleed Al Habeeb, Mostafa AlShimiri, Hanan AlBaker, Khaled Al Habib. Capecitabine-induced vasospasm: a case report. EJMCR. 2018; 2(1): 33-37. doi:
10.24911/ejmcr/1/36
Fayez El Shaer, Ismail R Raslan, Waleed Al Habeeb, Mostafa AlShimiri, Hanan AlBaker, Khaled Al Habib. Capecitabine-induced vasospasm: a case report. https://www.ejmcr.com/?mno=279727 [Access: September 20, 2024]. doi:
10.24911/ejmcr/1/36
Fayez El Shaer, Ismail R Raslan, Waleed Al Habeeb, Mostafa AlShimiri, Hanan AlBaker, Khaled Al Habib. Capecitabine-induced vasospasm: a case report. EJMCR. 2018; 2(1): 33-37. doi:
10.24911/ejmcr/1/36
Fayez El Shaer, Ismail R Raslan, Waleed Al Habeeb, Mostafa AlShimiri, Hanan AlBaker, Khaled Al Habib. Capecitabine-induced vasospasm: a case report. EJMCR. (2018), [cited September 20, 2024]; 2(1): 33-37. doi:
10.24911/ejmcr/1/36
Fayez El Shaer, Ismail R Raslan, Waleed Al Habeeb, Mostafa AlShimiri, Hanan AlBaker, Khaled Al Habib (2018) Capecitabine-induced vasospasm: a case report. EJMCR, 2 (1), 33-37. doi:
10.24911/ejmcr/1/36
Fayez El Shaer, Ismail R Raslan, Waleed Al Habeeb, Mostafa AlShimiri, Hanan AlBaker, Khaled Al Habib. 2018. Capecitabine-induced vasospasm: a case report. European Journal of Medical Case Reports, 2 (1), 33-37. doi:
10.24911/ejmcr/1/36
Fayez El Shaer, Ismail R Raslan, Waleed Al Habeeb, Mostafa AlShimiri, Hanan AlBaker, Khaled Al Habib. "Capecitabine-induced vasospasm: a case report." European Journal of Medical Case Reports 2 (2018), 33-37. doi:
10.24911/ejmcr/1/36
Fayez El Shaer, Ismail R Raslan, Waleed Al Habeeb, Mostafa AlShimiri, Hanan AlBaker, Khaled Al Habib. "Capecitabine-induced vasospasm: a case report." European Journal of Medical Case Reports 2.1 (2018), 33-37. Print. doi:
10.24911/ejmcr/1/36
Fayez El Shaer, Ismail R Raslan, Waleed Al Habeeb, Mostafa AlShimiri, Hanan AlBaker, Khaled Al Habib (2018) Capecitabine-induced vasospasm: a case report. European Journal of Medical Case Reports, 2 (1), 33-37. doi:
10.24911/ejmcr/1/36