Reactions 1455 - 8 Jun 2013

SVerapamil

Pulmonary oedema: case reportA 59-year-old woman developed pulmonary oedema during

treatment with verapamil. The woman, who had a long historyof hypertrophic obstructive cardiomyopathy, was admittedwith dyspnoea and severe fatigue. She was administeredverapamil 50mg twice daily [route not stated]. On the third dayof admission, she reported worsening shortness of breath andshe developed tachypnoea. Her BP was 90/20mm Hg, and herarterial oxygen saturation was 62%. She received treatmentincluding intubation, ventilation and IV hydration. Verapamilwas withdrawn and was replaced by metoprolol succinate.Her condition improved and she was discharged.

Author comment: "Here we describe a hypertrophicobstructive cardiomyopathy (HOCM) patient who developedpulmonary edema upon intake of Verapamil and was treatedby an uncommon strategy: intravenous fluid."Amin A, et al. Verapamil could be harmful in obstructive hypertrophiccardiomyopathy?. Iranian Heart Journal 13: 72-74, No. 4, 2013 - Iran 803087937

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Reactions 8 Jun 2013 No. 14550114-9954/10/1455-0001/$14.95 Adis © 2010 Springer International Publishing AG. All rights reserved