title: Elderly patient with delirium after myocardial infarction.
abstract: Delirium is a transient global disorder of cognition. Almost any medical illness or medication can cause delirium. Here, we report a 71-year-old male who presented to the emergency department with a sudden change in mental status, which later resolved. An electrocardiogram was consistent with acute myocardial infarction. The patient later developed symptoms of delirium, and haloperidol was administered. The symptoms did not resolve, and risperidone was initiated instead. The patient subsequently became hypotensive, and treatment was again changed to olanzapine. He returned to full consciousness with olanzapine treatment. When the potential hypotensive effects of haloperidol and risperidone are taken into consideration, in patients with high cardiac risk, olanzapine may provide a better option for the treatment of delirium.
authors.affiliation: Medical Faculty, Department of Internal Medicine, Division of Geriatric Medicine, Hacettepe University, Ankara, Turkey. meltemhalil@yahoo.com
authors.forename: Meltem
authors.initials: M
authors.lastname: Halil
authors.forename: Eylem Sahin
authors.initials: ES
authors.lastname: Cankurtaran
authors.forename: Nihal
authors.initials: N
authors.lastname: Ozkayar
authors.forename: Mustafa
authors.initials: M
authors.lastname: Cankurtaran
authors.forename: Zekeriya
authors.initials: Z
authors.lastname: Ulger
authors.forename: Burcu Balam
authors.initials: BB
authors.lastname: Yavuz
authors.forename: Ali
authors.initials: A
authors.lastname: Shorbagi
authors.forename: Servet
authors.initials: S
authors.lastname: Ariogul
mesh_terms: D000368:Aged; D014150:Antipsychotic Agents / Q000627:therapeutic use*; D001569:Benzodiazepines / Q000627:therapeutic use; D003693:Delirium / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D007022:Hypotension; D008297:Male; D009203:Myocardial Infarction / Q000150:complications*; D000077152:Olanzapine; D018967:Risperidone / Q000627:therapeutic use
chemical_list: D014150:Antipsychotic Agents; D001569:Benzodiazepines; D018967:Risperidone; D000077152:Olanzapine