Efficacy of epinephrine therapy in shock complicating pulmonary embolism.
A case of shock and pulmonary embolism in a 57-year-old woman is described in which hemodynamics were unresponsive both to usual therapy (volume loading, dobutamine, thrombolysis) and then to norepinephrine. Epinephrine proved to be effective, above all by strong beta 1-inotropic effect.
Boulain
T
T
Department of Reanimation Medicale, Hopital Bretonneau, Centre Hospitalier Universitaire, Tours, France.
Lanotte
R
R
Legras
A
A
Perrotin
D
D
D002303:Cardiac Output, Low / Q000209:etiology; D004108:Dilatation, Pathologic / Q000209:etiology; D004280:Dobutamine / Q000627:therapeutic use; D004837:Epinephrine / Q000627:therapeutic use*; D005260:Female; D006801:Humans; D007022:Hypotension / Q000188:drug therapy / Q000209:etiology; D008875:Middle Aged; D009638:Norepinephrine / Q000627:therapeutic use; D011655:Pulmonary Embolism / Q000150:complications*; D011994:Recombinant Proteins; D012770:Shock, Cardiogenic / Q000188:drug therapy* / Q000209:etiology*; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use; D016278:Ventricular Function, Right
D011994:Recombinant Proteins; D004280:Dobutamine; D014568:Urokinase-Type Plasminogen Activator; D009638:Norepinephrine; D004837:Epinephrine