Juan Buades, MD, PhD; Antonio Bassa, MD, PhD; Jordi Altés, MD; José Ma. Vicens, MD; Bartolome Cabrer, MD, PhD
To the Editor: Familial Mediterranean fever (FMF) is a hereditary disorder of unknown cause. The diagnosis is not difficult when a family history is relevant and diagnostic criteria are met (1, 2). Barakat and colleagues (3) have proposed a metaraminol provocation test for diagnosis of familial Mediterranean fever. They found that this test had a 100% sensitivity and specificity and did not provoke any serious side effects; only headache and transient palpitations were reported during metaraminol infusion. We report a case of bigeminal rhythm and angina pectoris secondary to the metaraminol test.
A 38-year-old woman had a family history of
Buades J, Bassa A, Altés J, Vicens JM, Cabrer B. The Metaraminol Test and Adverse Cardiac Effects. Ann Intern Med. ;111:259–260. doi: 10.7326/0003-4819-111-3-259_2
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Published: Ann Intern Med. 1989;111(3):259-260.
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