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Under-the-counter acquired acute coronary syndrome: Methaemoglobinaemia.

Authors :
Mommers L
Delnoij TS
Strauch U
Source :
European heart journal. Acute cardiovascular care [Eur Heart J Acute Cardiovasc Care] 2016 Dec; Vol. 5 (8), pp. 549-550. Date of Electronic Publication: 2015 Apr 02.
Publication Year :
2016

Abstract

A 73-year-old male suffers a type-2 inferior myocardial infarction and is found unconscious, hypotensive and centrally cyanotic. His arterial blood gas analysis shows a chocolate-brown discoloration, with pO2 45.1 kPa, HbO2 48.9%, MetHb 51%, BE -9 and a lactate of 3.7 mmol/l. Administration of 200 mg of methylene blue intravenously, normalizes the patient's abnormalities. His life-threatening acquired methaemoglobinaemia appears secondary to under-the-counter viagra.<br /> (© The European Society of Cardiology 2015.)

Details

Language :
English
ISSN :
2048-8734
Volume :
5
Issue :
8
Database :
MEDLINE
Journal :
European heart journal. Acute cardiovascular care
Publication Type :
Academic Journal
Accession number :
25838438
Full Text :
https://doi.org/10.1177/2048872615579394