Aortic insufficiency under weak doses of cabergoline for non-tumoral hyperprolactinemia

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Date publication

décembre 2007

Auteurs

Membres identifiés du Cancéropôle Est :
Pr PETIT Jean-Michel


Tous les auteurs :
Belleville I, Chague F, Petit JM, Boujon B

Résumé

Used in its neurological indication, cabergoline is known to induce cardiac valve regurgitations, essentially mitral and aortic valvular diseases, by its action on the 5HT2b receptors. Until now, it was assumed that the dose and the duration of exposure were the major factors of appearance. We describe a case of aortic insufficiency which developed in a patient given low doses of cabergoline (0.5 mg weekly) for non-tumoral hyperprolactinemia. Because of previous use of appetite suppressants and of bromocriptine, the exclusive responsibility of cabergoline remained uncertain. The potential gravity of these valvular heart diseases emphasizes the importance of careful cardiologic examination before and during treatment. (c) 2007 Elsevier Masson SAS. Tous droits reserves.

Référence

Ann Endocrinol (Paris). 2007 Dec;68(6):464-6