Overdose of diltiazem
نویسندگان
چکیده
منابع مشابه
Noncardiogenic pulmonary edema complicating massive diltiazem overdose.
Non-cardiogenic pulmonary edema has not been previously described in calcium channel blocker overdose. We describe a case of non-cardiogenic pulmonary edema occurring during the course of therapy for massive diltiazem overdose in a young patient with anorexia nervosa. Review of the current literature suggests that major and minor pulmonary complications occur with some frequency in the setting ...
متن کاملFatal diltiazem overdose: report of four cases and review of the literature.
Four fatal cases of diltiazem overdose are described and compared with previously published cases. Clinical sequelae include all grades of heart block, hypotension and ultimately death. Management includes gastric lavage and oral administration of activated charcoal at presentation. Further symptomatic treatment with inotropic agents and temporary cardiac pacing may be required. If these measur...
متن کاملA Case Report of Hypotension and Bradycardia Associated with Immediate-Release Diltiazem Overdose
A 31-year-old female had attempted suicide with 56 diltiazem 30 mg immediate-release (IR) tablets of her father’s prescription and was admitted into emergency department after one hour of ingestion. First vital signs revealed temperature of 36.2 , blood pressure of 58/27 mmHg and pulse of 7 °C 1 beats/min. The electrocardiogram showed junctional bradycardia. She was given the following treatmen...
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Introduction. In cardiovascular collapse from diltiazem poisoning, extracorporeal membrane oxygenation (ECMO) may offer circulatory support sufficient to preserve endogenous hepatic drug clearance. Little is known about patient outcomes and diltiazem toxicokinetics in this setting. Case Report. A 36-year-old woman with a history of myocardial bridging syndrome presented with chest pain for whic...
متن کاملDiltiazem overdose haemodynamic response to hyperinsulinaemia-euglycaemia therapy: a case report.
A 59-year-old woman was admitted to the intensive care unit after ingesting 5.76 g of an extended release preparation of diltiazem. The patient was hypotensive and bradycardic and was treated initially with intravenous fluids, adrenaline, noradrenaline, vasopressin and standard insulin doses to maintain the blood glucose levels between 6-10 mmol/L. As the patient remained inotrope dependent the...
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ژورنال
عنوان ژورنال: BMJ
سال: 1994
ISSN: 0959-8138,1468-5833
DOI: 10.1136/bmj.309.6948.193a