A case of vasospastic angina induced by adrenaline for anaphylaxis

Abstract

A 55-year-old male who have had chemotherapy for sigmoid colon cancer had developed anaphylaxis while anti-cancer agents was dripping. He transferred to emergency department immediately and 0.3 mg intramuscular adrenaline was administered, but sudden chest pain appeared in a few minutes. His ECG showed ST segment elevation in leads II , III , aVf and reciprocal ST segment depression in leads V1-4. The symptom and ECG change disappeared without treatment in 10 minutes. Emergency coronary angiography showed no stenosis so we diagnosed vasospastic angina induced by adrenaline.