Terlipressin for treating intraoperative hypotension: can it unmask myocardial ischemia?
After administration of terlipressin to treat hypotension related to induction of general anesthesia, profound hypertension occurred in association with myocardial ischemia and occlusion of the left anterior descending coronary artery. The authors emphasize cautious use of this drug because of such adverse events.
Medel
J
J
Department of Anesthesiology and Critical Care, University Hospital of Pitié-Salpêtrière, Paris, France.
Boccara
G
G
Van de Steen
E
E
Bertrand
M
M
Godet
G
G
Coriat
P
P
D000768:Anesthesia, General; D015906:Angioplasty, Balloon, Coronary; D000959:Antihypertensive Agents; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery; D017023:Coronary Angiography; D004562:Electrocardiography; D006801:Humans; D007022:Hypotension / Q000175:diagnosis* / Q000503:physiopathology; D007431:Intraoperative Complications / Q000175:diagnosis; D008236:Lypressin / Q000031:analogs & derivatives; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D017202:Myocardial Ischemia / Q000175:diagnosis* / Q000503:physiopathology; D011355:Prodrugs; D000077585:Terlipressin
D000959:Antihypertensive Agents; D011355:Prodrugs; D008236:Lypressin; D000077585:Terlipressin