Tuesday, June 15, 2010

Chest Pain with Low BP and High HR

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?



A115262

2 comments:

chang said...

ACEi inhibit degradation of bradykinin,can cause cough and angioedema

alvisto said...

Yea, as what chang said. ;p Nice ar this blog

Post a Comment

 
Powered by Blogger