Syncope Caused by Nonsteroidal Anti-Inflammatory Drugs and Angiotensin-Converting Enzyme Inhibitors
スポンサーリンク
概要
- 論文の詳細を見る
A 85-year-old woman with diabetes mellitus and prior myocardial infarction was transferred to the emergency room with loss of consciousness due to marked bradycardia caused by hyperkalemia. The T wave during right ventricular pacing was tall and tent-shaped while the concentration of serum potassium was high, and its amplitude during pacing was decreased after correction of the serum potassium level. Simultaneously with the correction, normal sinus rhythm was restored. The cause of hyperkalemia was considered to be several doses of loxoprofen, a nonsteroidal anti-inflammatory drug(NSAID), prescribed for her lumbago by an orthopedic specialist, in addition to the long-term intake of imidapril, an angiotensin-converting enzyme inhibitor(ACEI), prescribed for her hypertension by a cardiologist. This case warns physicians that the combination of NSAID and ACEI can produce serious side effects in aged patients who frequently suffer from hypertension, diabetes mellitus, ischemic heart disease, and degenerative joint disease.
- 社団法人日本循環器学会の論文
- 1999-11-20
著者
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Chin Ka
Third Department of Internal Medicine
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Kurata Chinori
Department of Medicine III, Hamamatsu University School of Medicine
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KURATA Chinori
YAMAHA Health Care Center
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Uehara Akihiko
Department of Internal Medicine III, Hamamatsu University School of Medicine
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Kurata C
Yamaha Health Care Center
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Kurata Chinori
Hamamatsu University School Of Medicine
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Sugiyama Tsuyoshi
Division Of Cardiology Internal Medicine Iii Hamamatsu University School Of Medicine
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Uehara Akihiko
Divisions Of Cardiology Department Of Internal Medicine Iii
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Uehara Akihiko
Department Of Cardiology Seirei Mikatahara Hospital
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Sugi Toshihiko
Department of Medicine III, Hamamatsu University of Medicine
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Yamazaki Keisuke
Department of Medicine III, Hamamatsu University of Medicine
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Yamazaki Keisuke
Divisions of Cardiology, Department of Internal Medicine III
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Kurata Chinori
Department Of Medicine Iii Hamamatsu University School Of Medicine
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Yamazaki Keisuke
Divisions Of Cardiology Department Of Internal Medicine Iii
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Kurata Chinori
The Third Department Of Internal Medicine Hamamatsu University School Of Medicine
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Uehara Akihiro
3rd Department Of Internal Medicine Hamamatsu University
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YAMAZAKI Keisuke
Department of Computational Intelligence and Systems Science, Tokyo Institute of Technology
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