| Popis: |
We reported on the condition of an elderly patient with cardio and cerebrovascular disease-hypertension, post cerebral infarction, diabetes mellitus-who treated with a combination of nicardipine, diltiazem and dipyridamol and who developd recurrent AV dissociation after minor oral surgery. The patient required aggressive pharmacological treatment with isoproterenol for hemodynamic restoration. It is strongly believed that the reason for this complication was the over dose of the two calcium channel blockers for quiet bed rest. The following are important for the physical control of the elderly when treated with polypharmacy vasodillator. 1) Thorough understanding of the patient's past history. 2) Exhaustive observation of the the cardiovascular alteration in pre-and postoperative evaluation. 3) Attention to changes in the effects of frequently used anti-hypertensive and anginal drugs after admission to the hospital. |
