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J Korean Soc Emerg Med > Volume 16(1); 2005 > Article
Journal of The Korean Society of Emergency Medicine 2005;16(1): 210-213.
A Case Report of Effective Use of an Intra-aortic Balloon Pump in Calcium Channel Blocker Intoxication
Sung Youl Hyun, Tae Gyo Jung, Jae Gwan Lee, Jin Joo Kim, Jae Kwang Kim, Yong Su Lim, Hyuk Jun Yang, Suk Ki Lee
1Department of Emergency Medicine, Gacheon Medical School, Gil Medical Center.
2Department of Thoracic Cardiovascular Surgery, Gacheon Medical School, Gil Medical Center. sungyoul@ghil.com
3Department of Thoracic and Cardiovascular Surgery, College of Medicine, Chosun University.
ABSTRACT
When used appropriately, calcium channel blockers are safe and efficacious. When overdose, however, these agents have the potential for serious morbidity which can lead to profound bradycardia and hypotension. The initial management of a calcium channel blocker overdose is supportive care, including stabilization and decontamination, followed by pharmacotherapy, including calcium agents, glucagon, insulin, catecholamines, and phosphodiesterase inhibitors (amrinone and milirone). Intra-aortic balloon pumps (IABP), extracorporeal membrane oxygenation, and even cardiopulmonary bypass, followed by conventional therapy have been used for patients with hypotension and bradycardia. We report a case of successful treatment with an IABP followed by pharmacotherapy.
Key words: Calcium channel blocker, Intra-aortic balloon pump
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