Complete Heart Block After Low Dose Octreotide Infusion for Esophageal Variceal Bleeding.
Am Surg
; 89(9): 3867-3869, 2023 Sep.
Article
in En
| MEDLINE
| ID: mdl-37144873
ABSTRACT
Cirrhosis and chronic liver disease cause a myriad of systemic health problems mostly caused by the presence of portal hypertension. Esophageal varices are one result of portal hypertension. They can rupture and bleed, which can be catastrophic in already coagulopathic liver failure patients. We present a patient who presented with decompensated liver failure for transplant. He developed a severe and refractory gastrointestinal bleed and was put on an octreotide infusion to increase splanchnic flow and decrease portal pressures. He subsequently developed complete heart block. Understanding the mechanisms of octreotide is imperative due to its frequent use in medically complex patients.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Esophageal and Gastric Varices
/
Liver Failure
/
Hypertension, Portal
Limits:
Humans
/
Male
Language:
En
Journal:
Am Surg
Year:
2023
Type:
Article
Affiliation country:
United States