Murthy Avinash, Henien Shady, Mcpherson Craig A, Logue Michael A
Division of Cardiology, Bridgeport Hospital, Bridgeport, CT, USA.
J Cardiol Cases. 2014 Nov 26;11(3):85-87. doi: 10.1016/j.jccase.2014.11.001. eCollection 2015 Mar.
Epinephrine is a frequently used catecholamine, particularly in emergencies and during resuscitation attempts. It is not without side effects. We report a rare case of epinephrine-induced cardiomyopathy. Epinephrine was administered for bradycardia in our patient. He was treated conservatively and responded well to the treatment. Through our work we wish to highlight this adverse cardiac effect of epinephrine. We hope to increase awareness among residents and practicing physicians while using epinephrine. < Epinephrine, although a lifesaving drug, has adverse side effects. Dosages and routes of administration determine its toxicity. Exogenous catecholamines can cause presentations similar to takotsubo cardiomyopathy. Management is supportive and the outcomes are good.>.
肾上腺素是一种常用的儿茶酚胺,尤其在紧急情况和复苏尝试期间使用。它并非没有副作用。我们报告一例罕见的肾上腺素诱发的心肌病病例。我们的患者因心动过缓接受了肾上腺素治疗。他接受了保守治疗,对治疗反应良好。通过我们的工作,我们希望强调肾上腺素的这种不良心脏效应。我们希望提高住院医师和执业医师在使用肾上腺素时的认识。<肾上腺素虽然是一种救命药物,但有不良副作用。剂量和给药途径决定其毒性。外源性儿茶酚胺可导致类似应激性心肌病的表现。治疗以支持治疗为主,预后良好。>