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氨氯地平中毒多种表现的病例系列

Case Series on Varied Presentations of Amlodipine Toxicity.

作者信息

Sridhar S, Narendiran Sandhiya, K R Murugan, Marimuthu A, Adalarasan Sahasyaa, S Yogesh, Shivamalarvizhi S, C Hariharan

机构信息

Internal Medicine, Madras Medical College and Rajiv Gandhi Government General Hospital, Chennai, IND.

Internal Medicine, Madras Medical College, Chennai, IND.

出版信息

Cureus. 2025 May 7;17(5):e83697. doi: 10.7759/cureus.83697. eCollection 2025 May.

DOI:10.7759/cureus.83697
PMID:40486345
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12144486/
Abstract

Calcium channel blockers (CCBs) are among the most widely prescribed drugs for cardiovascular illnesses. Angina pectoris, cardiac arrhythmias, hypertension, and other conditions are treated with calcium channel blockers (CCBs). Both immediate-release and extended-release versions of these drugs are available; the latter are often used in therapeutic settings. While extended-release CCB overdoses can cause delayed start of dysrhythmias, shock, sudden cardiac collapse, and intestinal ischemia, immediate-release CCB overdoses are characterized by rapid progression to hypotension, bradydysrhythmia, and cardiac arrest. The present case series consists of five cases of amlodipine toxicity that were treated at Rajiv Gandhi General Government Hospital and had a range of clinical manifestations. The present case series also includes two cases of non-cardiogenic pulmonary edema, a rare presentation of amlodipine poisoning.

摘要

钙通道阻滞剂(CCB)是治疗心血管疾病处方最广泛的药物之一。钙通道阻滞剂(CCB)用于治疗心绞痛、心律失常、高血压及其他病症。这些药物有速释和缓释两种剂型;后者常用于治疗。虽然缓释CCB过量可导致心律失常延迟发作、休克、心搏骤停和肠道缺血,但速释CCB过量的特征是迅速发展为低血压、缓慢性心律失常和心脏骤停。本病例系列包括在拉吉夫·甘地综合政府医院接受治疗的5例氨氯地平中毒病例,临床表现多样。本病例系列还包括2例非心源性肺水肿,这是氨氯地平中毒的一种罕见表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9537/12144486/2a3723636baf/cureus-0017-00000083697-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9537/12144486/eed8926eaac6/cureus-0017-00000083697-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9537/12144486/2a3723636baf/cureus-0017-00000083697-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9537/12144486/eed8926eaac6/cureus-0017-00000083697-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9537/12144486/2a3723636baf/cureus-0017-00000083697-i02.jpg

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1
Case Series on Varied Presentations of Amlodipine Toxicity.氨氯地平中毒多种表现的病例系列
Cureus. 2025 May 7;17(5):e83697. doi: 10.7759/cureus.83697. eCollection 2025 May.
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Unique Case of Cardiogenic Shock in the Setting of Cumulative Calcium Channel Blocker Toxicity.累积性钙通道阻滞剂中毒情况下的心源性休克罕见病例。
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Respir Care. 2014 Feb;59(2):e15-21. doi: 10.4187/respcare.02244. Epub 2013 May 14.

本文引用的文献

1
Calcium Channel Blocker Toxicity: A Practical Approach.钙通道阻滞剂中毒:一种实用方法
J Multidiscip Healthc. 2022 Aug 30;15:1851-1862. doi: 10.2147/JMDH.S374887. eCollection 2022.
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Amlodipine overdose complicated by non-cardiogenic pulmonary edema and diffuse alveolar hemorrhage: A case report.氨氯地平过量合并非心源性肺水肿和弥漫性肺泡出血:一例报告
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Critical Management of Severe Hypotension Caused by Amlodipine Toxicity Managed With Hyperinsulinemia/Euglycemia Therapy Supplemented With Calcium Gluconate, Intravenous Glucagon and Other Vasopressor Support: Review of Literature.
氨氯地平中毒所致严重低血压的关键管理:采用高胰岛素血症/正常血糖疗法,并补充葡萄糖酸钙、静脉注射胰高血糖素及其他血管升压药支持:文献综述
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Treatment for calcium channel blocker poisoning: a systematic review.钙通道阻滞剂中毒的治疗:系统评价。
Clin Toxicol (Phila). 2014 Nov;52(9):926-44. doi: 10.3109/15563650.2014.965827. Epub 2014 Oct 6.
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Indian J Crit Care Med. 2013 Nov;17(6):375-7. doi: 10.4103/0972-5229.123452.
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BMJ Case Rep. 2011 Sep 4;2011:bcr0720114467. doi: 10.1136/bcr.07.2011.4467.
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Acute severe intestinal obstruction secondary to amlodipine toxicity.氨氯地平中毒继发急性重症肠梗阻。
QJM. 2012 May;105(5):467-9. doi: 10.1093/qjmed/hcr052. Epub 2011 Apr 14.
8
Calcium channel antagonists: clinical uses--past, present and future.钙通道拮抗剂:临床应用——过去、现在与未来
Biochem Pharmacol. 2007 Jun 30;74(1):1-9. doi: 10.1016/j.bcp.2007.01.016. Epub 2007 Jan 13.
9
Amlodipine. A reappraisal of its pharmacological properties and therapeutic use in cardiovascular disease.氨氯地平。对其药理特性及在心血管疾病治疗应用的重新评估。
Drugs. 1995 Sep;50(3):560-86. doi: 10.2165/00003495-199550030-00009.
10
Side effects of calcium channel blockers.钙通道阻滞剂的副作用。
Hypertension. 1988 Mar;11(3 Pt 2):II42-4. doi: 10.1161/01.hyp.11.3_pt_2.ii42.