Haemodynamic and electrocardiographic consequences of severe nicorandil toxicity

被引：4

作者：

Greenwood, JP

Malik, I

Jennings, P

Stevenson, RN

机构：

[1] Gen Infirm, Yorkshire Heart Ctr, Acad Unit Cardiovasc Med, Leeds LS1 3EX, W Yorkshire, England

[2] Univ Liverpool, Aintree Hosp, Liverpool L69 3BX, Merseyside, England

[3] Huddersfield Royal Infirm, Huddersfield, W Yorkshire, England

来源：

EMERGENCY MEDICINE JOURNAL | 2003年 / 20卷 / 01期

关键词：

D O I：

10.1136/emj.20.1.98

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

A 35 year old woman was admitted to the emergency department two hours after ingesting 60×20 mg tablets of nicorandil, total 1.2 g. The dominant feature of icorandil toxicity was profound peripheral vasodilatation associated with coronary hypoperfusion. Despite widespread electrocardiographic signs of myocardial ischaemia, there was no evidence of myocardial damage and no serious cardiac arrhythmia. Volume loading and pressor support proved to be an effective treatment strategy.

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页码：98 / 100

页数：3

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