About: Surprisingly delayed escalation of severe verapamil poisoning

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rdf:type	skos:Concept http://linked.opendata.cz/ontology/domain/vavai/Vysledek
Description	We present a case report of intoxication by a potentially lethal dose of sustained-release verapamil with delayed escalation of complications. The patient was hospitalized 1.5 h after an attempted suicide with a very high dose of verapamil sustained-release (72 g). On admission the plasma concentrations were extremely high (3600 ng/l). Heart rate and blood pressure declined slowly with a surprising sudden escalation on the third day coupled with hemodynamic collapse and loss of consciousness. Complete recovery was achieved in spite of 2 h of extreme hypotension. We outline the clinical course, a need for massive bowel irrigation in case of sustained-release medication, the timing of a temporary pacing and the effect of centralization of circulation even on invasively measured blood pressure. European Journal of Emergency Medicine 16:100-102 (C) 2009 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins. We present a case report of intoxication by a potentially lethal dose of sustained-release verapamil with delayed escalation of complications. The patient was hospitalized 1.5 h after an attempted suicide with a very high dose of verapamil sustained-release (72 g). On admission the plasma concentrations were extremely high (3600 ng/l). Heart rate and blood pressure declined slowly with a surprising sudden escalation on the third day coupled with hemodynamic collapse and loss of consciousness. Complete recovery was achieved in spite of 2 h of extreme hypotension. We outline the clinical course, a need for massive bowel irrigation in case of sustained-release medication, the timing of a temporary pacing and the effect of centralization of circulation even on invasively measured blood pressure. European Journal of Emergency Medicine 16:100-102 (C) 2009 Wolters Kluwer Health vertical bar Lippincott Williams & Wilkins. (en)
Title	Surprisingly delayed escalation of severe verapamil poisoning Surprisingly delayed escalation of severe verapamil poisoning (en)
skos:prefLabel	Surprisingly delayed escalation of severe verapamil poisoning Surprisingly delayed escalation of severe verapamil poisoning (en)
skos:notation	RIV/00064165:_____/09:4019!RIV10-MZ0-00064165
http://linked.open...avai/riv/aktivita	V
http://linked.open...avai/riv/aktivity	V
http://linked.open...iv/cisloPeriodika	2
http://linked.open...vai/riv/dodaniDat	2010
http://linked.open...aciTvurceVysledku	Malík, Jan Říčařová, Bronislava Kotrlíková, Eva Janota, Jan Tuka, Vladimír
http://linked.open.../riv/druhVysledku	J - Článek v odborném periodiku
http://linked.open...iv/duvernostUdaju	S - Úplné a pravdivé údaje nepodléhající ochraně podle zvláštních právních předpisů
http://linked.open...titaPredkladatele	Všeobecná fakultní nemocnice v Praze / (nerozlišená součást)
http://linked.open...dnocenehoVysledku	344819
http://linked.open...ai/riv/idVysledku	RIV/00064165:_____/09:4019
http://linked.open...riv/jazykVysledku	eng - angličtina
http://linked.open.../riv/klicovaSlova	Cardiac pacing; intoxication; shock; verapamil; release verapamil; overdose; intoxication (en)
http://linked.open.../riv/klicoveSlovo	overdose intoxication release verapamil shock verapamil Cardiac pacing
http://linked.open...odStatuVydavatele	GB - Spojené království Velké Británie a Severního Irska
http://linked.open...ontrolniKodProRIV	[74DC5B948D40]
http://linked.open...i/riv/nazevZdroje	European Journal of Emergency Medicine
http://linked.open...in/vavai/riv/obor	FA
http://linked.open...ichTvurcuVysledku	5 (xsd:int)
http://linked.open...cetTvurcuVysledku	5 (xsd:int)
http://linked.open...UplatneniVysledku	2009
http://linked.open...v/svazekPeriodika	16
http://linked.open...iv/tvurceVysledku	Kotrlíková, Eva Malík, Jan Tuka, Vladimír Janota, Jan Říčařová, Bronislava
http://linked.open...ain/vavai/riv/wos	000264516800009
issn	0969-9546
number of pages	3 (xsd:int)

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