KaydedilenlerDerginizi ekleyin

Dergiler / E Journal of Cardiovascular Medicine / 2022 / Cilt: 10 - Sayı: 1

Successful Management of ExtendedRelease Verapamil Intoxication: A Case Report

Pınar Demir GÜNDOĞMUŞ
Ersin DOĞANÖZÜ
Sayfa
40–43
Yayın Tarihi
2022-10-12
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Although supportive therapies are important in verapamil intoxication, development of atrioventricular block and fatal bradycardia is possible so pacemaker implantation on time and ECMO to accelerate decontamination can be life-saving as shown in the case.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:Treatment strategies for the management of verapamil intoxication are still unclear, although it can have fatal consequences.
📊
Temel Bulgular & Veri:A 20-year-old female, who was treated regularly with extended-release verapamil 120 mg/d because of supraventricular tachycardia, took 15 tablets of extended-release verapamil 120 mg (1800 mg).
💡
Sonuç & Katkı:Although supportive therapies are important in verapamil intoxication, development of atrioventricular block and fatal bradycardia is possible so pacemaker implantation on time and ECMO to accelerate decontamination can be life-saving as shown in the case.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Abstract

Treatment strategies for the management of verapamil intoxication are still unclear, although it can have fatal consequences. A 20-year-old female, who was treated regularly with extended-release verapamil 120 mg/d because of supraventricular tachycardia, took 15 tablets of extended-release verapamil 120 mg (1800 mg). Her medical status deteriorated due to extended-release verapamil intoxication and she was successfully treated with cardiac pacemaker, fluid and electrolyte replacement and extracorporeal membrane oxygenation therapy (ECMO). Although supportive therapies are important in verapamil intoxication, development of atrioventricular block and fatal bradycardia is possible so pacemaker implantation on time and ECMO to accelerate decontamination can be life-saving as shown in the case.

🔖

Bu Makaleye Atıf Yap

GÜNDOĞMUŞ, P. D., DOĞANÖZÜ, E. (2022). Successful Management of ExtendedRelease Verapamil Intoxication: A Case Report. E Journal of Cardiovascular Medicine, Cilt: 10 - Sayı: 1, 40–43. https://ajindex.com/articles/498199

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (9)

  1. Moser M. Current recommendations for the treatment of hypertension: are they still valid? J Hypertens Suppl 2002;20:S3-10
  2. Mandigers L, Bollen PD, Bijlstra PJ, Brands E. Severe verapamil intoxication despite correct use of low-dose verapamil. Drug Metab Pers Ther 2016;31:55-8
  3. French D, Armenian P, Ruan W, et al. Serum verapamil concentrations before and after Intralipid® therapy during treatment of an overdose. Clin Toxicol (Phila) 2011;49:340-4
  4. Sami Karti S, Ulusoy H, Yandi M, et al. Non-cardiogenic pulmonary oedema in the course of verapamil intoxication. Emerg Med J 2002;19:458- 9
  5. Buckley N, Dawson AH, Howarth D, Whyte IM. Slow-release verapamil poisoning. Use of polyethylene glycol whole-bowel lavage and high-dose calcium. Med J Aust 1993;158:202-4
  6. Liang CW, Diamond SJ, Hagg DS. Lipid rescue of massive verapamil overdose: a case report. J Med Case Rep 2011;5:399
  7. Barold SS, Ilercil A, Leonelli F, Herweg B. First-degree atrioventricular block. Clinical manifestations, indications for pacing, pacemaker management & consequences during cardiac resynchronization. J Interv Card Electrophysiol 2006;17:139-52
  8. Kolcz J, Pietrzyk J, Januszewska K, Procelewska M, Mroczek T, Malec E. Extracorporeal life support in severe propranolol and verapamil intoxication. J Intensive Care Med 2007;22:381-5
  9. Pfaender M, Casetti PG, Azzolini M, Baldi ML, Valli A. Successful treatment of a massive atenolol and nifedipine overdose with CVVHDF. Minerva Anestesiol 2008;74:97-100.