© 2004 by BMJ Publishing Group & British Cardiac Society
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Heart Online case reports: www.heartjnl.com
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The follow electronic only articles are published in conjunction with this issue of Heart.
C M Healy, Y Smyth, S R Flint
Four patients with nicorandil induced ulceration are described. Nicorandil induced ulcers are very painful and distressing for patients. Clinically they appear as large, deep, persistent ulcers that have punched out edges. They are poorly responsive to topical steroids and usually require alteration of nicorandil treatment. The ulceration tends to occur at high doses and all four cases reported here were on doses of 40 mg per day or greater. In these situations reduction of nicorandil dose may be sufficient to promote ulcer healing and prevent further recurrence. However, complete cessation of nicorandil may be required.
(Heart 2004;90:e38) www.heartjnl.com/cgi/content/full/90/7/e38
J Auer, C Punzengruber, R Berent, T Weber, G Lamm, P Hartl, B Eber
This case report describes the devastating consequences of spontaneous coronary dissection
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