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- Induced Hypertension Using Phenylephrine in Patients with Acute Ischemic Stroke: A Case Report
- Sang Beom Jeon, Hoyon Sohn
- Korean J Crit Care Med. 2010;25(3):172-175.
- DOI: https://doi.org/10.4266/kjccm.2010.25.3.172
- 4,011 View
- 127 Download
- 1 Crossref
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Abstract
PDF - Decreased cerebral perfusion is associated with a poor prognosis for a patient suffering from acute ischemic stroke. Induced hypertension may improve the cerebral perfusion and stroke symptoms. However, there is not enough clinical evidence to support this therapy and it is rarely performed in daily practice. Here we report three patients with acute ischemic stroke and cerebral hypoperfusion who were successfully treated with induced hypertension using intravenous phenylephrine. Phenylephrine infusion may be a treatment option for patients suffering from acute ischemic stroke and cerebral hypoperfusion.
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- Therapeutic Use and Chronic Abuse of CNS Stimulants and Anabolic Drugs
Daniela Coliță, Cezar-Ivan Coliță, Dirk Hermann, Eugen Coliță, Thorsten Doeppner, Ion Udristoiu, Aurel Popa-Wagner
Current Issues in Molecular Biology.2022; 44(10): 4902. CrossRef
- Therapeutic Use and Chronic Abuse of CNS Stimulants and Anabolic Drugs
- Pharmacological Cardioversion with Phenylephrine for Paroxysmal Supraventricular Tachycardia during Lung Resection Surgery: A Case Report
- Hyun Jung Kim, Soo Kyung Lee, Young Mi Kim, Hyun Soo Moon
- Korean J Crit Care Med. 2006;21(1):57-62.
- 2,252 View
- 40 Download
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Abstract
PDF
- Supraventricular arrhythmias during and after thoracotomy for pulmonary resections are well documented, and risk factors of post-pulmonary resection arrhythmias are old age, magnitude of surgery, and coexisting cardiopulmonary disease etc. Among of supraventricular arrhythmias, atrial fibrillation is the most common rhythm disturbance that may be associated with increased morbidity and mortality. We experienced a case of paroxysmal supraventricular tachycardia with severe hypotension which was escalated from atrial fibrillation during pulmonary bilobectomy for tuberculosis in a 44-year old male patient. Instead of usual electrical cardioversion or common antiarrhythmic agents, we selected phenylephrine bolus injection which induced normal sinus rhythm successfully from paroxysmal supraventricular tachycardia of the patient.
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