Refractory intraoperative hypotension with elevated serum tryptase
Asia Pacific Allergy
;
(4): 47-50, 2015.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Mastocytose
/
Récepteurs aux angiotensines
/
Inhibiteurs de l'enzyme de conversion de l'angiotensine
/
Lisinopril
/
Insuffisance rénale chronique
/
Tryptases
/
Hypotension artérielle
/
Anaphylaxie
/
Mastocytes
Limites du sujet:
Humains
langue:
Anglais
Texte intégral:
Asia Pacific Allergy
Année:
2015
Type:
Article
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