Cardiogenic shock induced by a high dose of intravenous morphine.

Abstract:

:Morphine is an opiate alkaloid characterized by various clinical effects, among which the most prominent are its analgesic and psychoactive effects. It also has a prominent depressive effect on the respiratory and cardiovascular system. Because of its psychoactive effect, morphine is very addictive and often used as a recreational narcotic. As a medication, it has found its use as an analgesic agent in chronic pain treatment, in hemorrhagic shock, and in acute heart failure with pulmonary edema. Albeit, morphine use in heart failure is controversial, based on many observational studies showing the negative effect on the outcomes of the patients treated with morphine during acute cardiovascular incidents. In this report, the authors present a case of cardiogenic shock (CS) with transient left ventricular ejection fraction reduction, occurring in a patient attempting suicide using a high dose of intravenous morphine sulphate administration. Other CS causes were ruled out. To the best of the authors' knowledge, this is the second case of a morphine-related CS reported in literature. Int J Occup Med Environ Health. 2021;34(1):133-8.

authors

Sein Anand Ł,Korolkiewicz PK,Sein Anand J

doi

10.13075/ijomeh.1896.01629

subject

Has Abstract

pub_date

2021-01-07 00:00:00

pages

133-138

issue

1

eissn

1232-1087

issn

1896-494X

pii

128068

journal_volume

34

pub_type

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    doi:

    authors: Stanosz S,Kuligowski D,Pieleszek A,Zuk E,Rzechuła D,Chlubek D

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    pub_type: 杂志文章,评审

    doi:

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    pub_type: 杂志文章

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    更新日期:2019-02-27 00:00:00