Cardiogenic shock caused by disulfiram.

Abstract:

:Drug intoxication with disulfiram is a rare condition that may lead to severe and potentially fatal cardiovascular manifestations such as cardiogenic shock. We report the case of a female patient with refractory shock after deliberate self-poisoning with disulfiram. Clinical, biochemical and echocardiographic assessment, as well as invasive monitoring confirmed cardiogenic shock associated with this drug. The known mechanisms of action of disulfiram are discussed, and the major collateral effects, especially cardiovascular effects, are described. We underscore the importance of suspecting this diagnosis and of adopting prompt and the most adequate therapeutic approach in this context.

journal_name

Arq Bras Cardiol

authors

Jerónimo A,Meira C,Amaro A,Campello GC,Granja C

doi

10.1590/s0066-782x2009000300016

subject

Has Abstract

pub_date

2009-03-01 00:00:00

pages

e16-8

issue

3

eissn

0066-782X

issn

1678-4170

pii

S0066-782X2009000300016

journal_volume

92

pub_type

杂志文章
  • Takotsubo cardiomyopathy causing transitory ventricular dysfunction.

    abstract::This is the report of a 74-year-old female patient with a history of systemic hypertension and peripheral vascular disease who presented acute coronary syndrome symptoms. Coronary angiography showed coronary arteries with no significant obstructions. Ventriculography and echocardiography showed akinesia in mid and api...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2008000300013

    authors: Alves AA,Kowatsch I,Tsutsui JM,Nicolau JC,Lima MF,Mathias W Jr

    更新日期:2008-03-01 00:00:00

  • [Absence of nocturnal dipping is associated with stroke and myocardium infarction].

    abstract:BACKGROUND:The arterial hypertension varies in according to the circadian cycle, presenting physiologic fall of blood pressure (BP) during sleep (dipping). The absence of this fall or its increase associates to higher incidence of target-organ damages. OBJECTIVE:To analyze the prevalence of dipping in hypertensive ind...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2010000100013

    authors: Vaz-de-Melo RO,Toledo JC,Loureiro AA,Cipullo JP,Moreno Júnior H,Martin JF

    更新日期:2010-01-01 00:00:00

  • [Subaortic stenosis associated with perimembranous ventricular septal defect. Clinical follow-up of 36 patients].

    abstract:OBJECTIVE:To study the clinical pattern of subaortic stenosis associated with perimembranous ventricular septal defect. METHODS:From January 1979 to June 2000, 36 children with perimembranous ventricular septal defect and fixed subaortic stenosis were followed-up regarding anatomic characteristics, evolvement, and cli...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2005000200002

    authors: Horta Mda G,Faria CA,Rezende DF,Masci TL,Rabelo CC,Katina T,Oliveira Md,Oliveira LP

    更新日期:2005-02-01 00:00:00

  • Strain Analysis of Left Ventricular Function in the Association of Hypertrophic Cardiomyopathy and Systemic Arterial Hypertension.

    abstract:BACKGROUND:Hypertrophic cardiomyopathy (HCM) is the most common heart disease of genetic origin in the world population, with a prevalence of at least 1/500. The association with systemic arterial hypertension (SAH) is not uncommon, as it affects approximately 25% of the world population. Most studies aim at the differ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20190176

    authors: Gil TCP,Castier MB,Gondar AFP,Sales AF,Santos MO,Lima FCDS,Mourilhe-Rocha R

    更新日期:2019-09-02 00:00:00

  • Prevention of Sudden Cardiac Death in Hypertrophic Cardiomyopathy: What has Changed in The Guidelines?

    abstract:BACKGROUND:The new European Society of Cardiology guidelines for hypertrophic cardiomyopathy (HCM) define the estimation of sudden cardiac death (SCD) risk as an integral part of clinical management. An implantable cardioverter defibrillator (ICD) is recommended (class IIa) when the risk is ≥ 6%. OBJECTIVES:To compare...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20180099

    authors: Reis L,Teixeira R,Fernandes A,Almeida I,Madeira M,Silva J,Botelho A,Pais J,Nascimento J,Gonçalves L

    更新日期:2018-06-01 00:00:00

  • Azygos vein lead implantation: a therapeutic option for elevated defibrillation threshold.

    abstract::The evaluation of the defibrillation threshold (DFT) during the implantation of a cardioverter-defibrillator (ICD) is an important stage of the procedure, as a high DFT can be found in up to 16% of patients. We report a patient with idiopathic dilated cardiomyopathy (DCM) submitted to a biventricular ICD implantation....

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2012000600017

    authors: Camanho LE,Silva AC,Teixeira MA,Oliveira Junior LA,Saad EB,Maia Mda C

    更新日期:2012-06-01 00:00:00

  • [Multicenter study of elderly patients assisted at outpatient cardiology and geriatrics clinics in Brazilian institutions].

    abstract:PURPOSE:To evaluate epidemiological, clinical and therapeutic aspects of elderly patients with cardiovascular disease in Brazil. METHODS:Elderly patients with cardiovascular disease treated in 36 centers of cardiology and geriatrics were investigated through a questionnaire applied to those who had an appointment duri...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,多中心研究

    doi:10.1590/s0066-782x1997001100007

    authors: Taddei CF,Ramos LR,de Moraes JC,Wajngarten M,Libberman A,Santos SC,Savioli F,Dioguardi G,Franken R

    更新日期:1997-11-01 00:00:00

  • Prevalence of electrocardiographic findings in elderly individuals: the Sao Paulo aging & health study.

    abstract:BACKGROUND:The determination of the prevalence of electrocardiographic alterations in the older age strata of the Brazilian population represents important information with clinical and epidemiological purpose. OBJECTIVE:To verify the prevalence rates of atrial fibrillation, enlarged Q/QS waves (Minnesota code 1.1-1.2...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2009001200015

    authors: Kawabata-Yoshihara LA,Benseñor IM,Kawabata VS,Menezes PR,Scazufca M,Lotufo PA

    更新日期:2009-12-01 00:00:00

  • Why do we need randomized and epidemiological studies on cardiovascular disease? Evidence-based cardiology VII.

    abstract::Over the last two decades the results of randomized clinical studies, which are powerful aids for correctly assessing therapeutical strategies, have consolidated cardiological practice. In addition, scientifically interesting hypotheses have been generated through the results of epidemiological studies. Properly condu...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0066-782x1999000300002

    authors: Avezum A,Rossi Neto JM,Piegas L

    更新日期:1999-03-01 00:00:00

  • [Submammary incision for median sternotomy].

    abstract:PURPOSE:To evaluate the indications, complications, cosmetic and functional results with submammary skin incision for a median sternotomy in females. METHODS:Two hundred and eighty female patients have undergone submammary skin incision for a median sternotomy between 1981 to 1991 ages ranged from 2 months to 42 years...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Baucia JA,Sobrinho AF,Barbero-Marcial M

    更新日期:1993-05-01 00:00:00

  • Physical Stress Echocardiography: Prediction of Mortality and Cardiac Events in Patients with Exercise Test showing Ischemia.

    abstract::Background: Studies have demonstrated the diagnostic accuracy and prognostic value of physical stress echocardiography in coronary artery disease. However, the prediction of mortality and major cardiac events in patients with exercise test positive for myocardial ischemia is limited. Objective: To evaluate the effecti...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20140144

    authors: Araujo AC,Santos BF,Calasans FR,Pinto IM,Oliveira DP,Melo LD,Andrade SM,Tavares ID,Sousa AC,Oliveira JL

    更新日期:2014-11-01 00:00:00

  • Hyperkalemia during spironolactone use in patients with decompensated heart failure.

    abstract:BACKGROUND:The incidence of hyperkalemia related to spironolactone use is low in stable heart failure; however, it has not been studied during decompensation. OBJECTIVE:To evaluate the influence of spironolactone on serum potassium in decompensated heart failure (HF). METHODS:In a cohort study, patients that had been...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2008001500009

    authors: Lima MV,Ochiai ME,Cardoso JN,Morgado PC,Munhoz RT,Barretto AC

    更新日期:2008-09-01 00:00:00

  • Complete Revascularization Versus Treatment of the Culprit Artery Only in ST Elevation Myocardial Infarction: A Multicenter Registry.

    abstract:BACKGROUND:Data on the management and prognosis of patients with ST-segment elevation myocardial infarction (STEMI) and multivessel disease are limited in Brazil, showing that the available revascularization strategies should be investigated. OBJECTIVE:To assess the outcomes of complete revascularization versus treatm...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,多中心研究

    doi:10.36660/abc.20180346

    authors: Cadore JC,Furtado MV,Tumelero R,Tognon A,Krepsky AM,Cadore D,Ruschel KB,Bedin JC,Conte T,Polanczyk CA

    更新日期:2020-08-28 00:00:00

  • [Transient ventricular dysfunction (Takotsubo cardiomyopathy)].

    abstract::The patient was a male with myasthenia gravis, hospitalized with acute respiratory failure due to decompensation of the underlying disease. He evolved with findings suggestive of acute myocardial infarction, with electrocardiographic and enzymatic alterations compatible with that diagnosis. The patient underwent emerg...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2005000400013

    authors: Sousa JM,Knobel M,Buchelle G,Sousa JA,Fisher CH,Born D,Akamine N,Knobel E

    更新日期:2005-04-01 00:00:00

  • Left Atrial Appendage Closure with Amplatzer Cardiac Plug in Nonvalvular Atrial Fibrillation: Safety and Long-Term Outcome.

    abstract:BACKGROUND:Atrial fibrillation (AF) is a cardiac arrhythmia with high risk for thromboembolic events, specially stroke. OBJECTIVE:To assess the safety of left atrial appendage closure (LAAC) with the Amplatzer Cardiac Plug for the prevention of thromboembolic events in patients with nonvalvular AF. METHODS:This study...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20170167

    authors: Costa MJMD,Ferreira E,Quintella EF,Amorim B,Fuchs A,Zajdenverg R,Sabino H,Albuquerque DC

    更新日期:2017-12-01 00:00:00

  • Cost-effectiveness of prehospital versus inhospital thrombolysis in acute myocardial infarction.

    abstract:BACKGROUND:There is evidence that prehospital thrombolysis improves the outcome in ST-elevation myocardial infarction (STEMI). OBJECTIVE:This study aimed at comparing the cost-effectiveness of prehospital compared to inhospital thrombolysis for STEMI from the National Health System perspective. METHODS:A decision-ana...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2008000200005

    authors: Araújo DV,Tura BR,Brasileiro AL,Luz Neto H,Pavão AL,Teich V

    更新日期:2008-02-01 00:00:00

  • Prevalence of cardiac arrhythmias during and after pregnancy in women with Chagas' disease without apparent heart disease.

    abstract:OBJECTIVE:To evaluate cardiac arrhythmias during and after pregnancy in women with Chagas' disease without apparent heart disease using dynamic electrocardiography. METHODS:Twenty pregnant women with Chagas' disease without apparent heart disease aged 19 to 42 years (26.96 +/- 3.6) and a control group of 20 non-chagas...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:

    authors: Acha RE,Rezende MT,Guzman Heredia RA,Silva AC,Rezende ES,Souza CA

    更新日期:2002-07-01 00:00:00

  • Comparison between 2D and 3D echocardiography in the evaluation of reverse remodeling after CRT.

    abstract:BACKGROUND:Echocardiography is a useful method for screening and assessing response to cardiac resynchronization therapy (CRT). 3D echocardiography has already established its role in the evaluation of ventricular volumes and ejection fraction (LVEF) with excellent correlation of results when compared with MRI. OBJECT...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2011005000073

    authors: Hotta VT,Martinelli Filho M,Mady C,Mathias W Jr,Vieira ML

    更新日期:2011-08-01 00:00:00

  • Quantification of DNA Damage in Different Tissues in Rats with Heart Failure.

    abstract:BACKGROUND:Chronic heart failure (CHF) is a complex syndrome which comprises structural and functional alterations in the heart in maintaining the adequate blood demand to all tissues. Few investigations sought to evaluate oxidative DNA damage in CHF. OBJECTIVE:To quantify the DNA damage using the comet assay in left ...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.36660/abc.20180198

    authors: Stefani GP,Nunes RB,Rossato DD,Hentschke VS,Domenico MD,Lago PD,Rhoden CR

    更新日期:2020-02-01 00:00:00

  • Validation of the Killip-Kimball classification and late mortality after acute myocardial infarction.

    abstract:BACKGROUND:The classification or index of heart failure severity in patients with acute myocardial infarction (AMI) was proposed by Killip and Kimball aiming at assessing the risk of in-hospital death and the potential benefit of specific management of care provided in Coronary Care Units (CCU) during the decade of 60....

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20140091

    authors: Mello BH,Oliveira GB,Ramos RF,Lopes BB,Barros CB,Carvalho Ede O,Teixeira FB,Arruda GD,Revelo MS,Piegas LS

    更新日期:2014-08-01 00:00:00

  • Improving post-discharge medication adherence in patients with CVD: a pilot randomized trial.

    abstract:BACKGROUND:Effective interventions to improve medication adherence are usually complex and expensive. OBJECTIVE:To assess the impact of a low-cost intervention designed to improve medication adherence and clinical outcomes in post-discharge patients with CVD. METHOD:A pilot RCT was conducted at a teaching hospital. I...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,随机对照试验

    doi:10.5935/abc.20140151

    authors: Oliveira-Filho AD,Morisky DE,Costa FA,Pacheco ST,Neves SF,Lyra DP Jr

    更新日期:2014-12-01 00:00:00

  • [Pacemaker with sensor of contractility regulated by autonomic nervous system variations in chronic Chagas cardiomyopathy].

    abstract:PURPOSE:To analyse the performance of the artificial cardiac stimulation with the VVIR pacemaker whose sensor is adjusted by the variations of the autonomic nervous system in Chagas disease patients with deficiency of the conduction system. METHODS:Forty-seven Chagas disease patients have been studied, 28 male between...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 临床试验,杂志文章

    doi:10.1590/s0066-782x1998001200004

    authors: Greco OT,Ardito RV,Souza DR,Schaldach M

    更新日期:1998-12-01 00:00:00

  • Scintigraphy for the detection of myocardial damage in the indeterminate form of Chagas disease.

    abstract:BACKGROUND:Non-invasive cardiological methods have been used for the identification of myocardial damage in Chagas disease. OBJECTIVE:To verify whether the rest/stress myocardial perfusion scintigraphy is able to identify early myocardial damage in the indeterminate form of Chagas disease. METHODS:Eighteen patients w...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.1590/s0066-782x2010005000064

    authors: Abuhid IM,Pedroso ER,Rezende NA

    更新日期:2010-07-01 00:00:00

  • Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio are Predictors of Heart Failure.

    abstract:BACKGROUND:Neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are inflammatory markers used as prognostic factors in various diseases. The aims of this study were to compare the PLR and the NLR of heart failure (HF) patients with those of age-sex matched controls, to evaluate the predictive val...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20150126

    authors: Durmus E,Kivrak T,Gerin F,Sunbul M,Sari I,Erdogan O

    更新日期:2015-12-01 00:00:00

  • [Risk factors in elderly patients selected by primary care physicians for hypolipemic treatment].

    abstract:PURPOSE:To evaluate the influence of age on response to pravastatin treatment in patients treated by community physicians. METHODS:According to age, 873 patients were divided in three groups: group A with ages ranging from 45 to 59 years (n = 55), group B with ages from 60 to 64 years (n = 182) and group C with ages f...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 临床试验,杂志文章

    doi:

    authors: Barretto AC,Wajngarten M,Gebara OC,do Serro Azul JB,Pierri H,Nussbacher A,Pivotto L,Bellotti G,Pileggi F

    更新日期:1996-08-01 00:00:00

  • Emerging role of the GH/IGF-I on cardiometabolic control.

    abstract::Growth hormone (GH), the main regulator for post-natal growth, has important metabolic actions on different tissues, similar or opposite to insulin like growth factor I (IGF-I), mainly produced by the liver after the binding of GH to its receptor. Experiments with animal models indicate an important role of GH on insu...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0066-782x2011001400012

    authors: Oliveira CR,Meneguz-Moreno RA,Aguiar-Oliveira MH,Barreto-Filho JA

    更新日期:2011-11-01 00:00:00

  • Do diabetic patients with acute coronary syndromes have a higher threshold for ischemic pain?

    abstract:BACKGROUND:Data from over 4 decades have reported a higher incidence of silent infarction among patients with diabetes mellitus (DM), but recent publications have shown conflicting results regarding the correlation between DM and presence of pain in patients with acute coronary syndromes (ACS). OBJECTIVE:Our primary o...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:10.5935/abc.20140106

    authors: Nicolau JC,Barbosa CJ,Franci A,Baracioli LM,Franken M,Lima FG,Giraldez RR,Kalil Filho R,Ramires JA,Giugliano RP

    更新日期:2014-09-01 00:00:00

  • [Pharmacokinetics of statins].

    abstract::Statins are lipid lowering agents that promote their effects on plasma lipids through the inhibition of HMG-CoA reductase, a crucial enzyme in the cascade of cholesterol synthesis, leading to reduction of tissue cholesterol pool and consequently, to an upregulation of the LDL receptor expression. There are considerabl...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章

    doi:/S0066-782X2005002400003

    authors: Fonseca FA

    更新日期:2005-10-01 00:00:00

  • Dietary interventions and blood pressure in Latin America - systematic review and meta-analysis.

    abstract:BACKGROUND:High blood pressure is the major risk factor for cardiovascular disease. Low blood pressure control rates in Latin American populations emphasize the need for gathering evidence on effective therapies. OBJECTIVE:To evaluate the effects of dietary interventions on blood pressure in Latin American populations...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,meta分析,评审

    doi:10.5935/abc.20140037

    authors: Mazzaro CC,Klostermann FC,Erbano BO,Schio NA,Guarita-Souza LC,Olandoski M,Faria-Neto JR,Baena CP

    更新日期:2014-04-01 00:00:00

  • [Primary angiosarcoma of the right atrium with a patent foramen ovale and severe hypoxemia].

    abstract::A 19-years-old female with a primary right atrial angiosarcoma partially obstructing the tricuspid valve, developed severe hypoxemia due to right-to-left shunting through a patient foramen ovale. This is the first report of such clinical situation with this type of tumor. A complete resection of the tumor was attempte...

    journal_title:Arquivos brasileiros de cardiologia

    pub_type: 杂志文章,评审

    doi:

    authors: Velloso LG,Iglezias JC,Serrano Júnior CV,Benvenuti LA,César LA,Barretto AC

    更新日期:1992-12-01 00:00:00