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Amrinone for refractory cardiogenic shock following chloroquine poisoning

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Abstract

Cardiac arrhythmias and circulatory collapse account for the high mortality reported after severe chloroquine poisoning. We have recently observed a 17-year-old man who ingested an 8 g chloroquine overdose. Cardiac arrest occurred within 1 h. Cardiogenic shock was refractory to epinephrine, dopamine and molar sodium lactate. Amrinone, a bipyridine analog, was then successfully used to improve haemodynamic conditions.

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References

  1. Riou B, Barriot P, Rimailho A, Baud FJ (1988) Treatment of severe chloroquine poisoning. N Engl J Med 318:1–6

    Google Scholar 

  2. Czajka PA, Flynn PJ (1978) Nonfatal chloroquine poisoning. Clin Toxicol 13:361–369

    Google Scholar 

  3. Stead AH, Moffat AC (1983) A collection of therapeutic, toxic and fatal blood drug concentrations in man. Hum Toxicol 3:437–464

    Google Scholar 

  4. Jaeger A, Sauder P, Kopfershmitt J (1987) Clinical features and management of poisoning due to antimalarial drugs. Med Toxicol Adverse Drug Exp 2:242–273

    Google Scholar 

  5. Don Michael TA, Aiwazzadeh S (1970) The effects of acute chloroquine poisoning with special reference to the heart. Am Heart J 79: 831–842

    Google Scholar 

  6. Britton WJ, Kevau IH (1978) Intentional choloroquine overdosage. Med J Aust 2:407–410

    Google Scholar 

  7. Bismuth C (1983) Management of specific poisonings. In: Tinker J, Rapin M (eds) Care of the critically ill patient. Springer Berlin, pp 811–839

    Google Scholar 

  8. Jaeger A, Sauder P, Tempe JD (1981) Intoxications aigues par le disopyramide. Etude multicentrique de 106 observations. Nouv Presse Méd 10:2883–2887

    Google Scholar 

  9. Ward A, Brogden RN, Heel RC (1983) Amrinone-a preliminary review of its pharmacological properties and therapeutic use. Drugs 26:468–502

    Google Scholar 

  10. Sati Y, Wada Y, Taira N (1986) Comparative studies of cardiovascular profiles of milrinone and amrinone by use of isolated, bloodperfused dog heart preparations. Heart Vessels 2:213–220

    Google Scholar 

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Hantson, P., Ronveau, J.L., De Coninck, B. et al. Amrinone for refractory cardiogenic shock following chloroquine poisoning. Intensive Care Med 17, 430–431 (1991). https://doi.org/10.1007/BF01720684

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  • DOI: https://doi.org/10.1007/BF01720684

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