Acute Heart Failure Induced by a beta-blocker after the Local Infiltration of Epinephrine: A case report / 대한마취과학회지
Korean Journal of Anesthesiology
;
: 591-595, 2007.
Artículo
en Coreano
| WPRIM
| ID: wpr-223097
ABSTRACT
Topical epinephrine can cause severe hypertension, ventricular tachycardia, myocardial ischemia, cardiac arrest or pulmonary edema. The increased blood pressure and left ventricular afterload, as well as decreased left ventricular compliance caused by epinephrine may also decrease the cardiac output. If a beta blocker is used in these situations, the resulting decreased contractility and inability to increase the heart rate may further compromise the cardiopulmonary function. A 26 year-old man developed tachycardia and hypertension following the local infiltration of epinephrine 2 ml (110,000) around the nasal mucosa and an intramucosal injection of epinephrine 7.2 ml (1100,000). He was treated with intravenous esmolol 10 mg. He showed a decreasing heart rate and blood pressure, depressed ST segments and inverted T waves. At the same time, the pulsation of the femoral arteries was not palpable. Cardiac massage was started. He was treated with intravenous atropine 0.5 mg and epinephrine 5microgram. He recovered from circulatory failure after this treatment and his ECG showed a normal sinus rhythm.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Edema Pulmonar
/
Atropina
/
Choque
/
Taquicardia
/
Presión Sanguínea
/
Gasto Cardíaco
/
Epinefrina
/
Taquicardia Ventricular
/
Isquemia Miocárdica
/
Adaptabilidad
Límite:
Adulto
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Anesthesiology
Año:
2007
Tipo del documento:
Artículo
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