Refractory intraoperative hypotension with elevated serum tryptase
Asia Pacific Allergy
;
(4): 47-50, 2015.
Article
in English
| WPRIM
| ID: wpr-750010
ABSTRACT
Severe intraoperative hypotension has been reported in patients on angiotensin-converting enzyme inhibitors and angiotensin II receptor subtype 1 antagonists. We describe a patient on lisinopril who developed refractory intraoperative hypotension associated with increased serum tryptase level suggesting mast cell activation (allergic reaction). However, allergology workup ruled out an allergic etiology as well as mastocytosis, and hypotension recalcitrant to treatment was attributed to uninterrupted lisinopril therapy. Elevated serum tryptase was attributed to our patient's chronic renal insufficiency.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Mastocytosis
/
Receptors, Angiotensin
/
Angiotensin-Converting Enzyme Inhibitors
/
Lisinopril
/
Renal Insufficiency, Chronic
/
Tryptases
/
Hypotension
/
Anaphylaxis
/
Mast Cells
Limits:
Humans
Language:
English
Journal:
Asia Pacific Allergy
Year:
2015
Type:
Article
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