Disfunción sinusal transitoria secundaria a tratamiento con lacosamida

The case of an 84-year-old female patient is presented, with a history of high blood pressure, dyslipidemia, chronic venous failure and osteoarthritis, which –due to trigeminal neuralgia– had received treatment with several drugs, without achieving neuropathic pain control; that was why the treatmen...

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Published inCorSalud Vol. 11; no. 2; pp. 167 - 170
Main Authors Ruiz Montes, Francisco, Reinoso, Rodolfo, Grados Saso, Daniel, Gracia Gutiérrez, Anyuli, García Arguedas, Carolina, León Subías, Erica, Martinez Huguet, Claudia, Toribio Velamazán, Beatriz
Format Journal Article
LanguageSpanish
Published 2019
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Summary:The case of an 84-year-old female patient is presented, with a history of high blood pressure, dyslipidemia, chronic venous failure and osteoarthritis, which –due to trigeminal neuralgia– had received treatment with several drugs, without achieving neuropathic pain control; that was why the treatment with lacosamide was started in monotherapy, with an increase in dose until the therapeutic objective was achieved; but the patient presented clinical manifestations and electrocardiographic alterations compatible with sinus dysfunction, which were solved after reducing the dose of the drug. Se presenta el caso de una paciente de 84 años de edad, con antecedentes de hipertensión arterial, dislipemia, insuficiencia venosa crónica y osteoartrosis, que –debido a una neuralgia del trigémino– había recibido tratamiento con varios fármacos, sin lograr control del dolor neuropático, por lo que se inició tratamiento con lacosamida en monoterapia, con incremento de dosis hasta lograr el objetivo terapéutico; pero la paciente presentó manifestaciones clínicas y alteraciones electrocardiográficas compatibles con disfunción sinusal, que se resolvieron tras la reducción de la dosis del fármaco.
ISSN:2078-7170
2078-7170