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Rev. méd. Chile ; 124(6): 720-4, jun. 1996. ilus
Article Dans Espagnol | LILACS | ID: lil-174801

Résumé

A 54 years old female patient with a mitral valve prolapse and a rheumatic arthritis with steroids was admitted with dysnea and hypotension, that started 30 min after taking a pill containing enapril and hydroclorothiazide. Hemodynamic monitoring with a Swan-Ganz catheter showed a pulmonary capillary pressure of 5 mm Hg, a systemic vascular resistance of 887 (dyn sec)/cm5 and a cardiac output of 10 1/min. Tha patient had a history of adverse reactions to thiazides and responded to volume replacement, dopamine and steroids


Sujets)
Humains , Femelle , Adulte d'âge moyen , Oedème pulmonaire/étiologie , Hydrochlorothiazide/effets indésirables , Polyarthrite rhumatoïde/complications , Hémodynamique , Prolapsus de la valve mitrale/complications
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