Repetitive Myocardial Infarctions Secondary to Delirium Tremens
Joint Authors
Shiroff, Adam
Schwartzberg, David
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-12
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Delirium tremens develops in a minority of patients undergoing acute alcohol withdrawal; however, that minority is vulnerable to significant morbidity and mortality.
Historically, benzodiazepines are given intravenously to control withdrawal symptoms, although occasionally a more substantial medication is needed to prevent the devastating effects of delirium tremens, that is, propofol.
We report a trauma patient who required propofol sedation for delirium tremens that was refractory to benzodiazepine treatment.
Extubed prematurely, he suffered a non-ST segment myocardial infarction followed by an ST segment myocardial infarction requiring multiple interventions by cardiology.
We hypothesize that his myocardial ischemia was secondary to an increased myocardial oxygen demand that occurred during his stress-induced catecholamine surge during the time he was undertreated for delirium tremens.
This advocates for the use of propofol for refractory benzodiazepine treatment of delirium tremens and adds to the literature on the instability patients experience during withdrawal.
American Psychological Association (APA)
Schwartzberg, David& Shiroff, Adam. 2014. Repetitive Myocardial Infarctions Secondary to Delirium Tremens. Case Reports in Critical Care،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-487251
Modern Language Association (MLA)
Schwartzberg, David& Shiroff, Adam. Repetitive Myocardial Infarctions Secondary to Delirium Tremens. Case Reports in Critical Care No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-487251
American Medical Association (AMA)
Schwartzberg, David& Shiroff, Adam. Repetitive Myocardial Infarctions Secondary to Delirium Tremens. Case Reports in Critical Care. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-487251
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-487251