Acute myocardial ischemia following accidental intravenous administration of epinephrine in high concentration.
Indian Heart J
; 2005 May-Jun; 57(3): 261-4
Article
em En
| IMSEAR
| ID: sea-6136
ABSTRACT
Inadvertent and accidental epinephrine overdose might result in potentially lethal complications. We present a case of acute epinephrine toxicity resulting in acute myocardial ischemia in a young boy with combined variable immunodeficiency syndrome who developed severe allergic reaction to intravenous immunoglobulin, and was subsequently given epinephrine by mistake intravenously rather than subcutaneously. He developed significant ischemic changes in standard 12-lead electrocardiogram, transiently raised cardiac enzymes, reduced left ventricular systolic function, pulmonary edema and pulmonary hemorrhage. It is suggested that special precautionary measures should be taken regarding the dose and the route while administering epinephrine to avoid mishaps.
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IMSEAR
Assunto principal:
Infusões Intravenosas
/
Humanos
/
Masculino
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Epinefrina
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Doença Aguda
/
Seguimentos
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Adolescente
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Resultado do Tratamento
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Imunodeficiência Combinada Severa
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Imunoglobulinas Intravenosas
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Revista:
Indian heart j
Ano de publicação:
2005
Tipo de documento:
Article