Δημοσίευση

Acute estrogen administration can reverse cold-induced coronary Raynaud's phenomenon in systemic sclerosis.

ΤίτλοςAcute estrogen administration can reverse cold-induced coronary Raynaud's phenomenon in systemic sclerosis.
Publication TypeJournal Article
Year of Publication1996
AuthorsLekakis, J., Mavrikakis M., Emmanuel M., Prassopoulos V., Papamichael C., Moulopoulou D., Ziaga A., Kostamis P., & Moulopoulos S.
JournalClin Exp Rheumatol
Volume14
Issue4
Pagination421-4
Date Published1996 Jul-Aug
ISSN0392-856X
Λέξεις κλειδιάCold Temperature, Coronary Disease, Dipyridamole, Estrogens, Female, Heart, Humans, Injections, Intravenous, Middle Aged, Radionuclide Imaging, Raynaud Disease, Scleroderma, Systemic, Thallium Radioisotopes, Vasodilator Agents
Abstract

A 52-year-old postmenopausal woman with long-standing progressive systemic sclerosis and Raynaud's phenomenon was examined by dipyridamole-thallium-201 myocardial imaging and cold pressor thallium-201 myocardial scintigraphy. The dipyridamole test revealed normal myocardial perfusion, while the cold pressor test showed reversible ischemia to the anteroapical myocardial wall, indicating coronary Raynaud's phenomenon. Acute intravenous administration of conjugated estrogens led to normalization of the cold-induced thallium-201 defect. This is the first reported case of the beneficial effect of estrogens in coronary Raynaud's phenomenon.

Alternate JournalClin Exp Rheumatol
PubMed ID8871843

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