Tranexamic acid for angiotensin-converting enzyme inhibitor–induced angioedema

Autor: Gaurav Nitin Pathak, Thu Minh Truong, Abhishek Chakraborty, Babar Rao, Catherine Monteleone
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Clinical and Experimental Emergency Medicine, Vol 11, Iss 1, Pp 94-99 (2024)
Druh dokumentu: article
ISSN: 2383-4625
DOI: 10.15441/ceem.23.051
Popis: Approximately 0.7% of patients taking angiotensin-converting enzyme inhibitors (ACEIs) develop ACEI-induced angioedema (ACEI-IA). With no approved treatments for ACEI-IA, the risk of complications is concerning. Tranexamic acid (TXA) has the potential to prevent intubations and resolve ACEI-IA by inhibiting the downstream production of bradykinin. In this review, we aim to evaluate the safety and efficacy of TXA use in ACEI-IA. We queried the PubMed database for studies involving TXA for ACEI-IA from January 2003 to January 2023. Seven studies met the study inclusion criteria. Our results demonstrate that TXA may improve angioedema symptoms and prevent intubation. In addition, its availability, low cost, and safety profile support its use for improving the symptoms and complications of ACEI-IA in an emergency setting.
Databáze: Directory of Open Access Journals