双嘧达莫负荷试验期间的呼吸骤停。
Respiratory arrest during dipyridamole stress testing.
作者信息
Hillis G S, al-Mohammad A, Jennings K P
机构信息
Department of Cardiology, Aberdeen Royal Hospitals NHS Trust, Foresterhill, UK.
出版信息
Postgrad Med J. 1997 May;73(859):301-2. doi: 10.1136/pgmj.73.859.301.
Abstract
There is an increasing usage of radionuclide scanning to assess myocardial perfusion, with dipyridamole, the most commonly used stress agent. Although this is an effective, and usually very safe, means by which to assess myocardial blood supply, there have been several incidents of acute bronchospasm in asthmatic patients. There have, however, been no previous reports of respiratory arrest occurring in patients with emphysema. This case illustrates the dangers of administering intravenous dipyridamole, or even adenosine, to patients with chronic lung disease.
摘要
放射性核素扫描用于评估心肌灌注的情况日益增多，其中双嘧达莫是最常用的应激剂。虽然这是一种评估心肌血液供应的有效且通常非常安全的方法，但已有几例哮喘患者发生急性支气管痉挛的事件。然而，此前尚无肺气肿患者发生呼吸骤停的报道。本病例说明了对慢性肺病患者静脉注射双嘧达莫甚至腺苷的危险性。
相似文献
1
Respiratory arrest during dipyridamole stress testing.双嘧达莫负荷试验期间的呼吸骤停。
Postgrad Med J. 1997 May;73(859):301-2. doi: 10.1136/pgmj.73.859.301.
2
Patients with stable chronic obstructive pulmonary disease can safely undergo intravenous dipyridamole thallium-201 imaging.患有稳定型慢性阻塞性肺疾病的患者可安全地接受静脉注射双嘧达莫铊-201显像。
Am Heart J. 1998 Aug;136(2):307-13. doi: 10.1053/hj.1998.v136.89587.
3
Severe bronchospasm followed by respiratory arrest during thallium-dipyridamole imaging.
Chest. 1989 Jun;95(6):1345-7. doi: 10.1378/chest.95.6.1345.
4
[Pharmacological stimulation with dipyridamole in thallium-201 myocardial perfusion scintigraphy: a study of the secondary effects].[双嘧达莫在铊-201心肌灌注闪烁显像中的药理刺激：继发效应研究]
Rev Port Cardiol. 1996 Feb;15(2):131-6, 100.
5
Vasodilator stress induces infrequent wall thickening abnormalities compared to perfusion defects in mild-to-moderate coronary artery disease: implications for the choice of imaging modality with vasodilator stress.
Echocardiography. 2004 May;21(4):307-12. doi: 10.1111/j.0742-2822.2004.03006.x.
6
Cardiogenic shock after dipyridamole administration for myocardial perfusion imaging.用于心肌灌注成像的双嘧达莫给药后的心源性休克。
J Nucl Cardiol. 2005 May-Jun;12(3):362-4. doi: 10.1016/j.nuclcard.2005.03.003.
7
[Severe bradyarrhythmia during myocardial perfusion scintigraphy with injection of dipyridamole (Persantine)].
Rev Med Liege. 1999 Feb;54(2):105-8.
8
Dipyridamole versus verapamil for treatment of no-reflow during primary angioplasty.双嘧达莫与维拉帕米治疗急性心肌梗死直接经皮冠状动脉介入治疗无复流。
Catheter Cardiovasc Interv. 2010 Nov 15;76(6):787-93. doi: 10.1002/ccd.22724. Epub 2010 Aug 24.
9
Current advances in vasodilator pharmacological stress perfusion imaging.血管扩张剂药物负荷灌注成像的当前进展
Semin Nucl Med. 2009 May;39(3):204-9. doi: 10.1053/j.semnuclmed.2008.12.003.
10
Accuracy of dipyridamole myocardial contrast echocardiography for the detection of residual stenosis of the infarct-related artery and multivessel disease early after acute myocardial infarction.双嘧达莫心肌对比超声心动图检测急性心肌梗死后早期梗死相关动脉残余狭窄和多支血管病变的准确性。
J Am Coll Cardiol. 2004 Jun 16;43(12):2247-52. doi: 10.1016/j.jacc.2004.02.050.
本文引用的文献
1
Respiratory failure following adenosine administration.
Am J Emerg Med. 1993 May;11(3):249-50. doi: 10.1016/0735-6757(93)90138-2.
2
[Bronchospasm, apnea and heart arrest following dipyridamole perfusion scintigraphy].
Ned Tijdschr Geneeskd. 1993 Jan 16;137(3):142-3.
3
Safety profile of adenosine stress perfusion imaging: results from the Adenoscan Multicenter Trial Registry.腺苷负荷灌注成像的安全性概况：来自腺苷扫描多中心试验注册研究的结果。
J Am Coll Cardiol. 1994 Feb;23(2):384-9. doi: 10.1016/0735-1097(94)90424-3.
4
Bronchospasm induced by intravenous adenosine.静脉注射腺苷诱发的支气管痉挛。
Hum Exp Toxicol. 1994 Apr;13(4):263-5. doi: 10.1177/096032719401300407.
5
Bronchospasm after intravenous administration of adenosine in a patient with asthma.一名哮喘患者静脉注射腺苷后发生支气管痉挛。
J Pediatr. 1994 Nov;125(5 Pt 1):822-3. doi: 10.1016/s0022-3476(94)70085-0.
6
Antagonism by theophylline of respiratory inhibition induced by adenosine.
J Appl Physiol (1985). 1985 Nov;59(5):1428-33. doi: 10.1152/jappl.1985.59.5.1428.
7
Specific antagonism of adenosine-induced bronchoconstriction in asthma by oral theophylline.口服氨茶碱对哮喘患者腺苷诱发支气管收缩的特异性拮抗作用。
Br J Clin Pharmacol. 1985 May;19(5):685-92. doi: 10.1111/j.1365-2125.1985.tb02696.x.
8
Dipyridamole.
N Engl J Med. 1987 May 14;316(20):1247-57. doi: 10.1056/NEJM198705143162005.
9
Intravenous dipyridamole infusion causes severe bronchospasm in asthmatic patients.
Chest. 1989 Feb;95(2):258-9. doi: 10.1378/chest.95.2.258.
10
Dipyridamole thallium 201 imaging. How safe is it?
Circulation. 1990 Apr;81(4):1425-7. doi: 10.1161/01.cir.81.4.1425.
Zotero 插件