Saldaña A, Jalil J, Gaete P, Fajuri A, Castro P, Godoy I, Corbalán R
Departamento de Enfermedades Cardiovasculares, Escuela de Medicina, Universidad Católica de Chile, Santiago de Chile.
Rev Med Chil. 1996 Jun;124(6):720-4.
A 54 years old female patient with a mitral valve prolapse and a rheumatoid arthritis treated with steroids was admitted with dyspnea and hypotension, that started 30 min after taking a pill containing enapril and hydrochlorothiazide. Hemodynamic monitoring with a Swan-Ganz catheter showed a pulmonary capillary pressure of 5 mm Hg, a systemic vascular resistance of 887 (dyn sec)/cm5 and a cardiac output of 10 l/min. The patient had a history of adverse reactions to thiazides and responded to volume replacement, dopamine and steroids.
