Angiotensin-converting enzyme inhibitor-related angioedema necessitating endotracheal intubation
| Autor: | A. N. Laggner, Andreas Bur, J. Kletzmeyr, Harald Herkner, C. Havel, Gunnar Gamper |
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| Rok vydání: | 2001 |
| Předmět: |
Heart transplantation
biology Angioedema business.industry medicine.medical_treatment Tracheal intubation Angiotensin-converting enzyme Emergency Nursing Critical Care and Intensive Care Medicine Anesthesia Renin–angiotensin system Emergency Medicine biology.protein medicine Airway management cardiovascular diseases medicine.symptom Adverse effect business Airway |
| Zdroj: | Intensivmedizin und Notfallmedizin. 38:408-411 |
| ISSN: | 1435-1420 0175-3851 |
| DOI: | 10.1007/s003900170062 |
| Popis: | We present the case of a patient who had tolerated angiotensin converting-enzyme inhibitor (ACEI) therapy for several months without adverse effects until he suddenly developed life-threatening angioedema of the upper airway, necessitating tracheal intubation. The patient had undergone heart transplantation two years prior to the episode of angioedema. Besides the condition of long-term ACEI therapy we identified three possible triggers for the development of angioedema: consumption of alcoholic beverages, acute pneumonia and long-term use of cyclosporin A. The patient responded slowly to conventional pharmacologic therapy, could be extubated after seven days, and left the hospital after 34 days. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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