A Rash Decision. The Hazards of the Wrongful Use of Adrenaline
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.17/2939 |
Resumo: | Anaphylaxis is life-threatening and should be addressed urgently. Its treatment is not without side effects and an accurate diagnosis must be made to prevent potential harm by the wrongful use of medication. A 46-year-old woman with hypertension treated with angiotensin converting enzyme inhibitor (ACEI) presented to the emergency department with non-pitting oedema of the face and limbs. A hasty diagnosis of anaphylaxis was made and intravenous adrenaline administered. The patient developed a myocardial infarction caused by coronary artery spasm that required invasive intervention. The initial clinical picture was resolved when the ACEI was discontinued unmasking a case of ACEI-induced angioedema. The correct differentiation of these two apparently similar clinical entities is of utmost importance in the management of emergency department patients. |
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A Rash Decision. The Hazards of the Wrongful Use of AdrenalineHSM CARACEI-Induced AngioedemaAcute Myocardial InfarctionAdrenalineAnaphylaxisAnaphylaxis is life-threatening and should be addressed urgently. Its treatment is not without side effects and an accurate diagnosis must be made to prevent potential harm by the wrongful use of medication. A 46-year-old woman with hypertension treated with angiotensin converting enzyme inhibitor (ACEI) presented to the emergency department with non-pitting oedema of the face and limbs. A hasty diagnosis of anaphylaxis was made and intravenous adrenaline administered. The patient developed a myocardial infarction caused by coronary artery spasm that required invasive intervention. The initial clinical picture was resolved when the ACEI was discontinued unmasking a case of ACEI-induced angioedema. The correct differentiation of these two apparently similar clinical entities is of utmost importance in the management of emergency department patients.Repositório do Centro Hospitalar Universitário de Lisboa Central, EPECoutinho Cruz, MSá Carvalho, RModas Daniel, PCruz Ferreira, R2018-03-09T16:11:18Z2017-102017-10-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.17/2939engRom J Anaesth Intensive Care. 2017 Oct;24(2):163-166.10.21454/rjaic.7518.242.crzinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-03-10T09:40:24Zoai:repositorio.chlc.min-saude.pt:10400.17/2939Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T17:20:15.740444Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
A Rash Decision. The Hazards of the Wrongful Use of Adrenaline |
title |
A Rash Decision. The Hazards of the Wrongful Use of Adrenaline |
spellingShingle |
A Rash Decision. The Hazards of the Wrongful Use of Adrenaline Coutinho Cruz, M HSM CAR ACEI-Induced Angioedema Acute Myocardial Infarction Adrenaline Anaphylaxis |
title_short |
A Rash Decision. The Hazards of the Wrongful Use of Adrenaline |
title_full |
A Rash Decision. The Hazards of the Wrongful Use of Adrenaline |
title_fullStr |
A Rash Decision. The Hazards of the Wrongful Use of Adrenaline |
title_full_unstemmed |
A Rash Decision. The Hazards of the Wrongful Use of Adrenaline |
title_sort |
A Rash Decision. The Hazards of the Wrongful Use of Adrenaline |
author |
Coutinho Cruz, M |
author_facet |
Coutinho Cruz, M Sá Carvalho, R Modas Daniel, P Cruz Ferreira, R |
author_role |
author |
author2 |
Sá Carvalho, R Modas Daniel, P Cruz Ferreira, R |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Repositório do Centro Hospitalar Universitário de Lisboa Central, EPE |
dc.contributor.author.fl_str_mv |
Coutinho Cruz, M Sá Carvalho, R Modas Daniel, P Cruz Ferreira, R |
dc.subject.por.fl_str_mv |
HSM CAR ACEI-Induced Angioedema Acute Myocardial Infarction Adrenaline Anaphylaxis |
topic |
HSM CAR ACEI-Induced Angioedema Acute Myocardial Infarction Adrenaline Anaphylaxis |
description |
Anaphylaxis is life-threatening and should be addressed urgently. Its treatment is not without side effects and an accurate diagnosis must be made to prevent potential harm by the wrongful use of medication. A 46-year-old woman with hypertension treated with angiotensin converting enzyme inhibitor (ACEI) presented to the emergency department with non-pitting oedema of the face and limbs. A hasty diagnosis of anaphylaxis was made and intravenous adrenaline administered. The patient developed a myocardial infarction caused by coronary artery spasm that required invasive intervention. The initial clinical picture was resolved when the ACEI was discontinued unmasking a case of ACEI-induced angioedema. The correct differentiation of these two apparently similar clinical entities is of utmost importance in the management of emergency department patients. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-10 2017-10-01T00:00:00Z 2018-03-09T16:11:18Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.17/2939 |
url |
http://hdl.handle.net/10400.17/2939 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Rom J Anaesth Intensive Care. 2017 Oct;24(2):163-166. 10.21454/rjaic.7518.242.crz |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799131298780938240 |