Avtor/Urednik     Rupnik, Erik; Kariž, Stojan; Iglič, Črtomir; Zidarn, Mihaela; Košnik, Mitja
Naslov     Življenje ogrožajoči angioedem po zaviralcu angiotenzinove konvertaze - prikaz dveh primerov
Prevedeni naslov     Life-threatening angioedema induced by angiotensin-converting enzyme inhibitor - two case reports
Tip     članek
Vol. in št.     Letnik 84, št. 12
Leto izdaje     2015
Obseg     str. 866-870
ISSN     1581-0224 - Zdravniški vestnik
Jezik     slv
Abstrakt     Background. Angioedema is a rare but potentially very serious complication of treatment with angiotensin converting enzyme inhibitors (ACEI). Angioedema is due to the accumulation of bradykinin, because angiotensin converting enzyme is the key enzyme for its degradation. Case reports. We present two patients with life-threatening angioedema while taking ACEI. Both patients had already had episodes of angioedema. Angioedema didn't respond to adrenaline. In both patients intubation was difficult. Conclusion. In the acute phase of angioedema due to ACEI it is necessary to protect the airways. Bradykinin receptor inhibitors shorten the duration of episodes of angioedema. In the long term it is essential to permanently avoid ACEI.
Proste vsebinske oznake     isolated angioedema
angiotensin converting enzyme inhibitors
bradykinin
izoliran angioedem
zaviralci angiotenzinove konvertaze
bradikinin