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一名新冠肺炎患者因金刚烷胺导致心脏骤停

Amantadine-Induced Cardiac Arrest in a Patient With COVID-19.

作者信息

Bakhati Bibek, Sibi Victoria M, Mekala Armugam P, Ronen Joshua A, Mungara Sai S

机构信息

Internal Medicine, Texas Tech University Health Sciences Center Permian Basin, Odessa, USA.

Medicine, North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, RUS.

出版信息

Cureus. 2022 Jan 17;14(1):e21345. doi: 10.7759/cureus.21345. eCollection 2022 Jan.

DOI:10.7759/cureus.21345
PMID:35186602
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8850186/
Abstract

Amantadine, which is known for its antiviral activity, is presently used as therapy for Parkinson's disease. Adverse effects, such as cardiac arrhythmias, have been described in patients after ingestion of amantadine. Here, we present a patient who suffered a cardiac arrest following ingestion of a low dose of amantadine. A 71-year-old man was admitted to the emergency department for a witnessed cardiac arrest. He had developed an upper respiratory tract infection the preceding week and was prescribed 100 mg of amantadine. Within half an hour of taking the first dose, the patient collapsed. He was found to be in asystole by emergency medical services, and advanced cardiac life support protocols were initiated, including cardiopulmonary resuscitation and intubation for airway protection. However, he sustained multiple recurrences of cardiac arrest, and despite all resuscitation efforts, the patient expired.

摘要

金刚烷胺以其抗病毒活性而闻名,目前被用作帕金森病的治疗药物。摄入金刚烷胺后的患者曾出现过心律失常等不良反应。在此,我们报告一名摄入低剂量金刚烷胺后发生心脏骤停的患者。一名71岁男性因目击心脏骤停被送往急诊科。他前一周患上呼吸道感染,被开了100毫克金刚烷胺。服用首剂后半小时内,患者晕倒。紧急医疗服务人员发现他处于心搏停止状态,并启动了高级心脏生命支持方案,包括心肺复苏和气管插管以保护气道。然而,他多次复发心脏骤停,尽管进行了所有复苏努力,患者仍死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/241e/8850186/c32f8db88caf/cureus-0014-00000021345-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/241e/8850186/6df9a83448d4/cureus-0014-00000021345-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/241e/8850186/c32f8db88caf/cureus-0014-00000021345-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/241e/8850186/6df9a83448d4/cureus-0014-00000021345-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/241e/8850186/c32f8db88caf/cureus-0014-00000021345-i02.jpg

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Worldwide Survey of COVID-19-Associated Arrhythmias.COVID-19 相关心律失常的全球调查。
Circ Arrhythm Electrophysiol. 2021 Mar;14(3):e009458. doi: 10.1161/CIRCEP.120.009458. Epub 2021 Feb 7.
3
Docking Prediction of Amantadine in the Receptor Binding Domain of Spike Protein of SARS-CoV-2.金刚烷胺在新型冠状病毒刺突蛋白受体结合域中的对接预测
ACS Pharmacol Transl Sci. 2020 Nov 3;3(6):1430-1433. doi: 10.1021/acsptsci.0c00172. eCollection 2020 Dec 11.
4
Anti-Inflammatory Effects of Amantadine and Memantine: Possible Therapeutics for the Treatment of Covid-19?金刚烷胺和美金刚的抗炎作用:对治疗新冠病毒疾病是否具有潜在疗效?
J Pers Med. 2020 Nov 9;10(4):217. doi: 10.3390/jpm10040217.
5
Observational study of people infected with SARS-Cov-2, treated with amantadine.对感染 SARS-CoV-2 并接受金刚烷胺治疗的人群进行的观察性研究。
Pharmacol Rep. 2020 Dec;72(6):1538-1541. doi: 10.1007/s43440-020-00168-1. Epub 2020 Oct 10.
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Amantadine Treatment for People with COVID-19.金刚烷胺治疗 COVID-19 患者。
Arch Med Res. 2020 Oct;51(7):739-740. doi: 10.1016/j.arcmed.2020.06.009. Epub 2020 Jun 12.
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