Anginal attack following a sodium bicarbonate and hydrocortisone injection.
スポンサーリンク
概要
- 論文の詳細を見る
A case of a 73-year-old man with variant angina who developed chest pain and shock following an injection of sodium bicarbonate and hydrocortisone is reported. The electrocardiogram (ECG) during the chest pain attack revealed ST elevation in leads II, III and aVF. It returned to a normal pattern 10min later. Coronary angiography, performed 2 hours after the anginal attack, showed no significant coronary arterial stenosis. One month later, an injection of ergonovine (16μg) into the right and left coronary arteries induced spasms in segments 4 and 13, with ischemic ECG changes. Possible causes of the anginal attack are a coronary arterial spasm induced by the allergic reaction to hydrocortisone and/or serum alkalosis due to the sodium bicarbonate injection triggered by hyperventilation.
- International Heart Journal刊行会の論文
著者
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Taga Kuniaki
Department of Internal Medicine, Fukui Cardiovascular Center
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Mifune Junichiro
Department Of Internal Medicine Fukui Cardiovascular Center
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Taga Kuniaki
Department Of Internal Medicine Fukui Cardiovascular Center
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Wu Der-Jinn
Department of Internal Medicine, Chung-Shan Medical and Dental College Hospital
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Nishioka Shinji
Department Of Medicine Fukui Cardiovascular Center Fukui Junkanki Hospital
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Murakami Tatsuaki
Department Of Applied Chemistry Faculty Of Engineering Chiba University
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Hifumi Senshu
Department Of Internal Medicine Fukui Cardiovascular Center
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Tanaka Takashi
Department Of Central Clinical Laboratory Teikyo University Hospital
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Takahashi Yoshifumi
Department Of Dental Material Science School Of Dentistry Aichi Gakuin University
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Takahashi Yoshifumi
Department of Internal Medicine, Fukui Cardiovascular Center
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MURAKAMI Tatsuaki
Department of Internal Medicine, Fukui Cardiovascular Center
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YAMASHIDA Shigenori
Department of Internal Medicine, Fukui Cardiovascular Center
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WU Der-Jinn
Department of Internal Medicine, Chung Shan Medical and Dental College Hospital
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HIFUMI Senshu
Department of Internal Medicine, Fukui Cardiovascular Center
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NISHIOKA Shinji
Department of Internal Medicine, Fukui Cardiovascular Center
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