Cardiovascular Disease Associated with the Chronic Use of Ergotamine: A Case ReportErgotamine and its derivatives were used for multiple diseases; in the nineties, its use in association with caffeine was considered a standard treatment for migraines, although it has been in decline, due to the evidenced toxic effects related to its chronic use including vascular, cardiovascular and central nervous system manifestations.In this article is reported a case of a 59-yearold female with chronic use of caffeine plus ergotamine for more than 20 years; afterwards she develops peripheral artery disease, severe mitral and tricuspid valve regurgitation with requirement of valve replacement.In the absence of past cardiovascular history and rheumatic fever, its clinical evolution and pathology results are associated with ergotism.