Chest Pain with Low BP and High HR
How to manage this patient?
1
Inotrope (e.g. Digoxin)
to stabilise blood pressure first
2 (a)
B-blocker (e.g. propranolol)
to reduce heart rate
2 (b)
(if B-blocker contraindicated e.g. in asthmatic)
Calcium channel blocker which act centrally (e.g. diltiazem, verapamil)
to reduce heart rate
Others
ACEi / ARB
Diuretic
Credits to Kanit and Asilah's group for teaching me.
* Learning issue : why the patient who take ACEi presented with cough as side effect?
How to manage this patient?
1
Inotrope (e.g. Digoxin)
to stabilise blood pressure first
2 (a)
B-blocker (e.g. propranolol)
to reduce heart rate
2 (b)
(if B-blocker contraindicated e.g. in asthmatic)
Calcium channel blocker which act centrally (e.g. diltiazem, verapamil)
to reduce heart rate
Others
ACEi / ARB
Diuretic
Credits to Kanit and Asilah's group for teaching me.
* Learning issue : why the patient who take ACEi presented with cough as side effect?
A115262
2 comments:
ACEi inhibit degradation of bradykinin,can cause cough and angioedema
Yea, as what chang said. ;p Nice ar this blog
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