Harada Taku, Nakanishi Toshiyuki, Kutsuna Satoshi, Nakai Mori
General Medicine, Nerima Hikarigaoka Hospital, Tokyo, JPN.
Diagnostic and Generalist Medicine, Dokkyo Medical University Hospital, Mibu, JPN.
Cureus. 2024 Jul 9;16(7):e64143. doi: 10.7759/cureus.64143. eCollection 2024 Jul.
Ceftriaxone and lansoprazole are commonly used in clinical settings, but recent analyses indicate a potential risk for QTc prolongation and cardiac events when used together. This case series examines three patients from a cohort of sudden death cases at a single institution over a decade, who received both medications within 24 hours before death. Three cases were identified, each with contributing factors for cardiac arrhythmias. The results underscore the importance of monitoring and possibly avoiding this drug combination in patients at risk of QT prolongation, pending further investigation into the underlying mechanisms.
头孢曲松和兰索拉唑在临床环境中常用,但最近的分析表明,两者合用时存在QTc延长和心脏事件的潜在风险。本病例系列研究了一家机构在十年间猝死病例队列中的三名患者,他们在死前24小时内接受了这两种药物。共识别出三例,每例都有导致心律失常的因素。结果强调了在有QT延长风险的患者中监测并可能避免这种药物组合的重要性,有待对潜在机制进行进一步研究。