Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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A Case of Postprandial Hypotension in the Intensive Care Unit Treated With Acarbose

  • Choi, Joon-Hyouk (Department of Medicine, Hanmaeum Hospital) ;
  • Lee, Hyung-Seok (Department of Medicine, Hanmaeum Hospital) ;
  • Lee, Tae-Yu (Department of Medicine, Hanmaeum Hospital) ;
  • Jang, Eun-Ha (Department of Medicine, Hanmaeum Hospital) ;
  • Kang, Min-Ho (Department of Medicine, Cardiovascular Center, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Cho, Dae-Kyoung (Department of Medicine, Hanmaeum Hospital)
  • Published : 2011.10.30
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Abstract

Postprandial hypotension (PPH) has not been described as a cause of hypotension after the return of spontaneous circulation (ROSC) in the intensive care unit (ICU). A 74 year old man underwent cardiopulmonary resuscitation (CPR) due to mo-nomorphic ventricular tachycardia. After the ROSC, inotropic agents were not reduced but increased. PPH had occurred, according to the flow sheet, so a provocation test was performed. We noted hypotension but no serum hypoglycemia or tachycardia. The hypotension was diagnosed as PPH. We chose acarbose for treatment; thus, the inotropic agents were discontinued. This is the first case in which hypotension occurred in a patient recovering after CPR in the ICU and that the PPH was treated with acarbose. PPH should be considered and treated to manage hypotension in elderly patients in the ICU.

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References

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