Refractory intraoperative hypotension with elevated serum tryptase
Asia Pacific Allergy
;
(4): 47-50, 2015.
Artículo
en Inglés
| 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.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Mastocitosis
/
Receptores de Angiotensina
/
Inhibidores de la Enzima Convertidora de Angiotensina
/
Lisinopril
/
Insuficiencia Renal Crónica
/
Triptasas
/
Hipotensión
/
Anafilaxia
/
Mastocitos
Límite:
Humanos
Idioma:
Inglés
Revista:
Asia Pacific Allergy
Año:
2015
Tipo del documento:
Artículo
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