Intravenous esmolol in acute aortic dissection
Acute aortic dissection is a devastating condition requiring prompt intensive pharmacologic management geared toward control of blood pressure and reduction in myocardial contractility (change in velocity/change in time). The treatment of choice currently is sodium nitroprusside and intravenous prop...
Saved in:
Published in | DICP (Cincinnati, Ohio) Vol. 25; no. 7-8; p. 735 |
---|---|
Main Authors | , |
Format | Journal Article |
Language | English |
Published |
United States
01.07.1991
|
Subjects | |
Online Access | Get more information |
Cover
Loading…
Abstract | Acute aortic dissection is a devastating condition requiring prompt intensive pharmacologic management geared toward control of blood pressure and reduction in myocardial contractility (change in velocity/change in time). The treatment of choice currently is sodium nitroprusside and intravenous propranolol hydrochloride. During acute aortic dissection, hemorrhage may spread into the interatrial septum, extending to the atrioventricular junctional tissues, thus causing conduction abnormalities. Adverse effects of long-acting beta-blockers, including bradycardia, heart failure, and bronchospasm, may limit their usefulness because these effects persist for a long time after discontinuation. This may be detrimental, especially in patients with compromised cardiac function, bronchospastic disease, or both. We report a case of a 64-year-old woman with compromised cardiac function and aortic dissection who was successfully treated with esmolol hydrochloride (an ultrashort-acting beta-blocker) and sodium nitroprusside. |
---|---|
AbstractList | Acute aortic dissection is a devastating condition requiring prompt intensive pharmacologic management geared toward control of blood pressure and reduction in myocardial contractility (change in velocity/change in time). The treatment of choice currently is sodium nitroprusside and intravenous propranolol hydrochloride. During acute aortic dissection, hemorrhage may spread into the interatrial septum, extending to the atrioventricular junctional tissues, thus causing conduction abnormalities. Adverse effects of long-acting beta-blockers, including bradycardia, heart failure, and bronchospasm, may limit their usefulness because these effects persist for a long time after discontinuation. This may be detrimental, especially in patients with compromised cardiac function, bronchospastic disease, or both. We report a case of a 64-year-old woman with compromised cardiac function and aortic dissection who was successfully treated with esmolol hydrochloride (an ultrashort-acting beta-blocker) and sodium nitroprusside. |
Author | Udeani, G O Mohindra, S K |
Author_xml | – sequence: 1 givenname: S K surname: Mohindra fullname: Mohindra, S K organization: Critical Care Unit, South Chicago Community Hospital, IL – sequence: 2 givenname: G O surname: Udeani fullname: Udeani, G O |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/1683074$$D View this record in MEDLINE/PubMed |
BookMark | eNotjs1qAyEURl2kpEnaFygUfIFJ71VHnWUJ_QkEumnXQR0Fy4yG0Sn07TvQrM53Nh9nS1YpJ0_IA8IeUaknBAnANHQIrAVQIFdkgyBY00nEW7It5RuAQyf5mqxRag5KbMj-mOpkfnzKc6G-jHnIA42JGjdXT02eanS0j6V4V2NOd-QmmKH4-yt35Ov15fPw3pw-3o6H51PjuNS1sUGoELhgVkKLDJepuNZdj2ikkm1ARCY9b3tnTDBiiXeLBWW1BQiC7cjj_-9ltqPvz5cpjmb6PV-72R8MFEP6 |
CitedBy_id | crossref_primary_10_1053_j_jvca_2020_12_029 crossref_primary_10_1053_j_jvca_2017_11_039 crossref_primary_10_1067_men_2001_112838 crossref_primary_10_1016_S0733_8627_20_30597_6 |
ContentType | Journal Article |
DBID | CGR CUY CVF ECM EIF NPM |
DOI | 10.1177/106002809102500706 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) |
DatabaseTitleList | MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | no_fulltext_linktorsrc |
Discipline | Pharmacy, Therapeutics, & Pharmacology |
ExternalDocumentID | 1683074 |
Genre | Journal Article Case Reports |
GroupedDBID | 53G 5RE AACKU AAGGD AAJIQ AAJOX AANSI AAPEO AAQXH AARDL AAWTL AAXOT AAYTG AAZBJ ABDWY ABHKI ABPGX ABQKF ABVVC ABYTW ACFMA ACFYK ACGBL ACGFS ACLHI ADEIA ADMPF ADNBR ADTBJ ADUKL AECVZ AEWDL AEXFG AFFNX AFKBI AIGRN AJABX AJEFB AJMMQ AJSCY ALMA_UNASSIGNED_HOLDINGS CBRKF CGR CORYS CQQTX CUTAK CUY CVF DC0 DD- DD0 DE- DE. DN0 ECM EIF F5P J5H NPM Q1R SCNPE SFC WH7 ZGI |
ID | FETCH-LOGICAL-c368t-bf47ff342b605121f3473889d11a6765f11126e35dcaafa4106ce35f7b8b00f42 |
ISSN | 1042-9611 |
IngestDate | Sat Sep 28 07:28:07 EDT 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 7-8 |
Language | English |
LinkModel | OpenURL |
MergedId | FETCHMERGED-LOGICAL-c368t-bf47ff342b605121f3473889d11a6765f11126e35dcaafa4106ce35f7b8b00f42 |
PMID | 1683074 |
ParticipantIDs | pubmed_primary_1683074 |
PublicationCentury | 1900 |
PublicationDate | 1991-07-01 |
PublicationDateYYYYMMDD | 1991-07-01 |
PublicationDate_xml | – month: 07 year: 1991 text: 1991-07-01 day: 01 |
PublicationDecade | 1990 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | DICP (Cincinnati, Ohio) |
PublicationTitleAlternate | DICP |
PublicationYear | 1991 |
References | DICP 1991 Sep;25(9):1017 |
References_xml | |
SSID | ssj0030963 |
Score | 1.4247676 |
Snippet | Acute aortic dissection is a devastating condition requiring prompt intensive pharmacologic management geared toward control of blood pressure and reduction in... |
SourceID | pubmed |
SourceType | Index Database |
StartPage | 735 |
SubjectTerms | Acute Disease Adrenergic beta-Antagonists - therapeutic use Aged Aneurysm, Dissecting - drug therapy Aneurysm, Dissecting - physiopathology Aortic Aneurysm - drug therapy Aortic Aneurysm - physiopathology Blood Pressure - drug effects Female Heart Rate - drug effects Humans Nitroprusside - therapeutic use Propanolamines - therapeutic use |
Title | Intravenous esmolol in acute aortic dissection |
URI | https://www.ncbi.nlm.nih.gov/pubmed/1683074 |
Volume | 25 |
hasFullText | |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bS8MwFA5eEHwRr3gnD-JLrTRplmSP4l1QB27gmyRZgnuwExyC_npPLlvHVLy8lLZpy3q-9tu59DtBaE9QK0tpTa65aOaMCZsrK4ucWqKVKEVTUa93vr7hFx12dd-4r2cUDOqSgT4071_qSv6DKuwDXL1K9g_Iji4KO2Ad8IUlIAzLX2F86TOzr7HLqn15Ah7zHTQyZXzxX_X9CVkouJuR-ZMfenJ53AoFXJ9qr3xG0Nv69rHXH0sNXPcfIWIPExFld3U-tNO1cSKo7Dy7rbMG8esmMcwaRKLzspwmT0SXmDBKkBPiIpdjxCZiU5HPhBtKvhBXhhot-B7gUgGL8PGDwWjPTwECwiVwCvtxcKIFdhqZRtNCeha78RmZ-G9bQggWRRTpfobCqNBSYPJXzaO5dK2JKCJ4E-1FtJDCAHwUMV1CU7ZaRvut2Ef87QC3a1ncywHex626w_jbCjocAx4n4HGvwgF4HIHHNfCrqHN22j6-yNPEF7kpuRzk2jHhXMmohmCTUAKropSy2SVEccEbjnjhly0bXaOUUwxu1MCWE1oCizpG19BM1a_sOsKCOkVMoYWGwJGaQhFw0bqyZAW1BVdmA61FOzw8x-4mD8lAm98NbKH5-oHaRrMOXia7A57ZQO8GaD4AQ8owZw |
link.rule.ids | 786 |
linkProvider | National Library of Medicine |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Intravenous+esmolol+in+acute+aortic+dissection&rft.jtitle=DICP+%28Cincinnati%2C+Ohio%29&rft.au=Mohindra%2C+S+K&rft.au=Udeani%2C+G+O&rft.date=1991-07-01&rft.issn=1042-9611&rft.volume=25&rft.issue=7-8&rft.spage=735&rft_id=info:doi/10.1177%2F106002809102500706&rft_id=info%3Apmid%2F1683074&rft_id=info%3Apmid%2F1683074&rft.externalDocID=1683074 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1042-9611&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1042-9611&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1042-9611&client=summon |