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Hyoscine-N-Butyl-Bromide-Induced Hypotension and Myocardial Ischemia
Hyoscine N-butyl bromide, also known as scopolamine, is a type of antimuscarinic agent. This drug is associated with numerous common side effects, including abdominal fullness, constipation, urinary retention, blurred vision, skin flushing, tachycardia, decreased sweating, and salivation. The most u...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4010047/ https://www.ncbi.nlm.nih.gov/pubmed/24829823 http://dx.doi.org/10.1155/2013/414856 |
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author | Chen, Guan-Liang Hsu, Wen-Hsiu |
author_facet | Chen, Guan-Liang Hsu, Wen-Hsiu |
author_sort | Chen, Guan-Liang |
collection | PubMed |
description | Hyoscine N-butyl bromide, also known as scopolamine, is a type of antimuscarinic agent. This drug is associated with numerous common side effects, including abdominal fullness, constipation, urinary retention, blurred vision, skin flushing, tachycardia, decreased sweating, and salivation. The most unfavorable side effect is hemodynamic instability. In the present case, hypotension and acute myocardial infarction developed after intravenous hyoscine injection as a premedication therapy for colonoscopy. It was difficult to differentiate the cause-effect relationship between myocardial infarction and hypotension. Because both conditions were present under drug effects, we considered 2 possible diagnoses. One was coronary spasm with cardiogenic shock, and the other was myocardial ischemic sequela due to shock status. The latter diagnosis was confirmed after a series of examinations. |
format | Online Article Text |
id | pubmed-4010047 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-40100472014-05-14 Hyoscine-N-Butyl-Bromide-Induced Hypotension and Myocardial Ischemia Chen, Guan-Liang Hsu, Wen-Hsiu Case Rep Crit Care Case Report Hyoscine N-butyl bromide, also known as scopolamine, is a type of antimuscarinic agent. This drug is associated with numerous common side effects, including abdominal fullness, constipation, urinary retention, blurred vision, skin flushing, tachycardia, decreased sweating, and salivation. The most unfavorable side effect is hemodynamic instability. In the present case, hypotension and acute myocardial infarction developed after intravenous hyoscine injection as a premedication therapy for colonoscopy. It was difficult to differentiate the cause-effect relationship between myocardial infarction and hypotension. Because both conditions were present under drug effects, we considered 2 possible diagnoses. One was coronary spasm with cardiogenic shock, and the other was myocardial ischemic sequela due to shock status. The latter diagnosis was confirmed after a series of examinations. Hindawi Publishing Corporation 2013 2013-01-28 /pmc/articles/PMC4010047/ /pubmed/24829823 http://dx.doi.org/10.1155/2013/414856 Text en Copyright © 2013 G.-L. Chen and W.-H. Hsu. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Chen, Guan-Liang Hsu, Wen-Hsiu Hyoscine-N-Butyl-Bromide-Induced Hypotension and Myocardial Ischemia |
title | Hyoscine-N-Butyl-Bromide-Induced Hypotension and Myocardial Ischemia |
title_full | Hyoscine-N-Butyl-Bromide-Induced Hypotension and Myocardial Ischemia |
title_fullStr | Hyoscine-N-Butyl-Bromide-Induced Hypotension and Myocardial Ischemia |
title_full_unstemmed | Hyoscine-N-Butyl-Bromide-Induced Hypotension and Myocardial Ischemia |
title_short | Hyoscine-N-Butyl-Bromide-Induced Hypotension and Myocardial Ischemia |
title_sort | hyoscine-n-butyl-bromide-induced hypotension and myocardial ischemia |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4010047/ https://www.ncbi.nlm.nih.gov/pubmed/24829823 http://dx.doi.org/10.1155/2013/414856 |
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