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Titolo:
TREATMENT OF MILRINONE-ASSOCIATED TACHYCARDIA WITH BETA-BLOCKERS
Autore:
ALHASHEMI JA; HOOPER J;
Indirizzi:
LONDON HLTH SCI CTR,DEPT CRIT CARE MED,UNIV CAMPUS,339 WINDERMERE RD LONDON ON N6A 5A5 CANADA UNIV OTTAWA,OTTAWA CIVIC HOSP,DEPT CRIT CARE MED OTTAWA ON K1N 6N5 CANADA
Titolo Testata:
Canadian journal of anaesthesia
fascicolo: 1, volume: 45, anno: 1998,
pagine: 67 - 70
SICI:
0832-610X(1998)45:1<67:TOMTWB>2.0.ZU;2-B
Fonte:
ISI
Lingua:
ENG
Soggetto:
CONGESTIVE HEART-FAILURE; INTRAVENOUS MILRINONE; DOBUTAMINE; PATIENT; SURGERY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
14
Recensione:
Indirizzi per estratti:
Citazione:
J.A. Alhashemi e J. Hooper, "TREATMENT OF MILRINONE-ASSOCIATED TACHYCARDIA WITH BETA-BLOCKERS", Canadian journal of anaesthesia, 45(1), 1998, pp. 67-70

Abstract

Purpose: To describe a case of milrinone-associated tachycardia that was successfully treated with two beta-blockers. Clinical features: A 74-yr-old male patient underwent elective abdominal aortic aneurysm repair under combined epidural/general anaesthesia. He had a history of alcohol abuse, controlled hypertension and ischaemic heart disease. Postoperatively, the patient had persistent sinus tachycardia that was initially unsuccessfully treated with metoprolol. Subsequently, the patient's blood pressure and cardiac index decreased with an associated increase in pulmonary/artery pressure. Analysis of the ST-segment revealed no evidence of myocardial ischaemia or infarction, These haemodynamic changes were treated with milrinone which exacerbated the baselinetachycardia without adverse blood pressure response. The subsequent administration of beta-blockers (esmolol and metoprolol) was successfulin controlling the heart rate response to milrinone without adverselyaffecting the patient's haemodynamic profile, Conclusion: This reportdemonstrates the efficacy of esmolol and metoprolol for the treatmentof milrinone-associated tachycardia, without compromising the haemodynamic effects of milrinone.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/07/20 alle ore 14:43:46