Coronary vasospasm secondary to labetalol in a patient with aortic dissection.
A 66-year-old hypertensive woman presented with epigastric and scapular pain on the basis of type 3 aortic dissection. Appropriate therapy with a combined alpha-adrenergic and beta-adrenergic antagonist agent prevented further ongoing dissection and amelioration of symptoms. On day 5, an episode of coronary vasospasm occurred presumably due to beta-blockade with unopposed alpha-adrenergic activity.
Published In/Presented At
Sandler, M. A., Jacobs, L. E., & Kotler, M. N. (1991). Coronary vasospasm secondary to labetalol in a patient with aortic dissection. Chest, 100(1), 261–262. https://doi.org/10.1378/chest.100.1.261
Medicine and Health Sciences
Department of Medicine, Cardiology Division