title: [Acute poisoning with cardiovascular agents].
abstract: In order to determine the frequency, severity of poisoning, and the efficacy of the applied therapeutic measures, retrospective study of 391 patients treated for acute drug poisoning was performed during one-year period at the Clinic for Emergency and Clinical Toxicology and Pharmacology. In 49 (12.5%) patients cardiovascular agents were the cause of poisoning, most frequently beta-blockers and calcium antagonists (77.5%). Poisoning with antihypertensive agents was registered in 12.2% of patients, antiarrhythmics in 8.2%, and cardiotonics in 2.1%. Beta-blockers and calcium antagonists caused severe poisoning in over 40% of cases. Predominant clinical manifestations were registered on cardiovascular system, while central nervous system effects occurred secondary to cardiotoxicity. Symptomatic and supportive measures were performed most frequently, while specific agents, glucagon, calcium salts, and others, were used less often.
authors.affiliation: Vojnomedicinska akademija, Centar za kontrolu trovanja, Klinika za toksikologiju i klinicku farmakologiju, Beograd.
authors.forename: Slavica
authors.initials: S
authors.lastname: Vucinić
authors.forename: Zarko
authors.initials: Z
authors.lastname: Vucinić
authors.forename: Zoran
authors.initials: Z
authors.lastname: Segrt
authors.forename: Dragan
authors.initials: D
authors.lastname: Joksović
authors.forename: Dusan
authors.initials: D
authors.lastname: Jovanović
authors.forename: Veljko
authors.initials: V
authors.lastname: Todorović
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D002317:Cardiovascular Agents / Q000506:poisoning*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011041:Poisoning / Q000175:diagnosis / Q000628:therapy; D012189:Retrospective Studies
chemical_list: D002317:Cardiovascular Agents