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2005, Number S3

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Arch Cardiol Mex 2005; 75 (S3)

Severe intoxication with verapamil

Morales MG, Guerrero SG, García GR, Villalobos SJ, Camarena AG, Aguirre SJ, Martínez SJ
Full text How to cite this article

Language: Spanish
References: 13
Page: 100-105
PDF size: 136.79 Kb.


Key words:

Calcium antagonists, Shock, Lactic acidosis.

ABSTRACT

Calcium channel blockers are currently widely used to treat many cardiological alterations; however, overdose and poisoning have been associated with morbidity and mortality mainly in those patients with suicidal attempts. We report a case and review the pathophysiology of overdose, treatment, and prognosis.


REFERENCES

  1. Litovitz TL, Klein-Schwartz W, Caravati EM, Youniss J, Crouch B, Lee S: 1998 Anual of the American Association of Poison Control Center Toxic Exposure Surveillance System. Am J Emerg Med 1999; 17: 435-487.

  2. Kline JA, Leonora E, Raymond RM: Beneficial myocardial metabolic effects of insulin during verapamil toxicity in the anesthetized canine. Crit Care Med 1995; 23: 1251-1263.

  3. Yuan TH, Kerns WP II, Tomaszewski CA, Ford MO, Kline JA: Insulin glucose as adjunctive therapy for severe calcium channel antagonist poisoning. J Toxicol Clin Toxicol 1999; 37: 463-474.

  4. Enyeartn JJ, Price WA, Hoffman DA, Woods L: Profound hyperglycemia and metabolic acidosis after verapamilo overdose. J Am Coll Cardiol 1983; 2: 1228-1231.

  5. Hardman JG, Limbird LE, Molinoff PB, et al: Las bases farmacológicas de la terapéutica y bloqueadores de los canales de Ca 2+. 9na. Ed. México. McGraw-Hill Interamericana. 1996: 821-828.

  6. Landry DW, Levin HR, Gallant EM, Ashton RC, Seo SBA, Alessandro D, et al: Vasopressin deficiency contributes to the vasodilation of septic shock. Circulation 1997; 95: 1122-1125.

  7. Dries D: Vasopressin: Hormonal support for hemorrhagic shock. Crit Care Med 2003; 31: 1286-1287.

  8. Holmes CL, Patel BM, Russell JA, Walley KR: Physiology of vasopressin relevant to management of septic shock. Chest 2001; 120: 989-1002.

  9. Dünser MW, Mayr AJ, Ulmer H, Knotzer H, Sumann G, Pajk W, et al: Arginina vasopressin in advanced vasodilatorv shock. Circulation 2003; 107: 2313-2319.

  10. Osés I, Burillo-Putz G, Munné P, Nogué S, Pinillos MA: Acute pharmacologic poisoning, psychotropic and antiarrhythmic drugs. Anales Sis San Navarra 2003; 26: 49-63.

  11. Strohmenger H, Krismer A, Wenzel V: Vasopressin in shock states. Current Opinion Anesthesiology 2003; 16: 159-164.

  12. Delliger R: Cardiovascular management of septic shock. Crit Care Med 2003; 31: 946-955.

  13. Edward WB, Michael S: Treatment of Calcium channel Blocker intoxication with insulin infusion. N Engl J Med 2001; 344: 1721-1722.




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Arch Cardiol Mex. 2005;75