Abstract:
:We describe a case of severe heart failure due to the combined effect of verapamil and enalapril overdose in a patient treated regularly with metoprolol. The patient was dependent for 2 days on glucagon and dopamine infusion but remained oliguric, with deteriorating renal function. Marked improvement in all hemodynamic parameters was noted a short time after initiation of treatment with low-dose insulin infusion (1-2 units/h), which allowed the prompt withdrawal of glucagon and dopamine. We discuss the efficacy of glucose-insulin treatment in toxic cardiac depression and suggest that a low dose may be beneficial in similar cases.
journal_name
Cardiologyjournal_title
Cardiologyauthors
Hasin T,Leibowitz D,Antopolsky M,Chajek-Shaul Tdoi
10.1159/000093191subject
Has Abstractpub_date
2006-01-01 00:00:00pages
233-6issue
4eissn
0008-6312issn
1421-9751pii
93191journal_volume
106pub_type
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