Hypoglycemic Syncope Induced by a Combination of Cibenzoline and Angiotensin Converting Enzyme Inhibitor.
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概要
- 論文の詳細を見る
A 65-year-old Japanese woman with dilated cardiomyopathy, hypothyroidism and refractory sustained ventricular tachycardia experienced a near-death hypoglycemic syncope. The attack seemed to be induced by a high level of serum insulin, probably due to cibenzoline and by concomitant use of an angiotensin converting enzyme inhibitor (ACEI). Additionally, decreased food intake because of a severe toothache may have contributed to the deterioration of her condition. This case warns cardiologists that a combined cibenzoline and ACEI therapy can provoke serious adverse effects such as hypoglycemic syncope in the elderly. Therefore, the possibility of a hypoglycemic attack associated with these drugs should be explained to patients who are in poor condition.
- International Heart Journal刊行会の論文
著者
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Hiwada Kunio
The Second Department Of Internal Medicine Ehime University School Of Medicine
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Ogimoto Akiyoshi
The Second Department of Internal Medicine, Ehime University School of Medicine
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Ohtsuka Tomoaki
The Second Department of Internal Medicine, Ehime University School of Medicine
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Shigematsu Yuji
The Second Department of Internal Medicine, Ehime University School of Medicine
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Hiasa Go
The Second Department Of Internal Medicine Ehime University School Of Medicine
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Hara Yuji
The Second Department Of Internal Medicine Ehime University School Of Medicine
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Hashida Hidetoshi
The Second Department of Internal Medicine, Ehime University School of Medicine
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OKURA Takafumi
the Second Department of Internal Medicine, Ehime University School of Medicine
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Saeki Hideyuki
The Second Department of Internal Medicine, Ehime University School of Medicine
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Okura Takafumi
The Second Department Of Internal Medicine Ehime University School Of Medicine
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Hamada Mareomi
The Second Department Of Internal Medicine Ehime University School Of Medicine
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