대한임상독성학회지 (Journal of The Korean Society of Clinical Toxicology)

  • 제2권1호
  • /
  • Pages.12-14
  • /
  • 2004
  • /
  • 1738-1320(pISSN)
  • /
  • 2508-6332(eISSN)
대한임상독성학회 (Korean society of Clincal Toxicology)
권호 표지

아나필락시스에 의한 심전도 변화 1례

A Case of Electrocardiographic Change Associated with Anaphylaxis

  • 이동훈 (이화여자대학교 의과대학 응급의학교실) ;
  • 장혜영 (이화여자대학교 의과대학 응급의학교실) ;
  • 어은경 (이화여자대학교 의과대학 응급의학교실) ;
  • 정구영 (이화여자대학교 의과대학 응급의학교실)
  • Lee Dong Hoon (Department of Emergency Medicine College of Medicine, Ewha Womans University) ;
  • Jang Hye Young (Department of Emergency Medicine College of Medicine, Ewha Womans University) ;
  • Eo Eun Kyung (Department of Emergency Medicine College of Medicine, Ewha Womans University) ;
  • Jung Koo Young (Department of Emergency Medicine College of Medicine, Ewha Womans University)
  • 발행 : 2004.06.01
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초록

Anaphylaxis is a systemic allergic reaction which can bring fatal results. The common symptoms are erythema, angioedema, urticaria, hypertension and dyspnea. However, in very few cases, ST segment changes in the electrocardiogram can be seen. This is a case of a 51 year old female with normal heart function who showed reversible ST segment depression during anaphylaxis caused by a $H_2$-blocker agent. The cause of ST segment changes during anaphylaxis is thought to be the result of coronary vasospasm mediated by various factors.

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