Author/Editor		Štajer, Dušan; Bervar, Mojca; Horvat, Matija
Title		Kardiogeni šok po prvem terapevtskem odmerku verapamila
Translated title		Cardiogenic shock after initial therapeutic dose of verapamil
Type		članek
Source		In: Bručan A, Gričar M, editors. Urgentna medicina: izbrana poglavja 3. Zbornik 4. mednarodni simpozij o urgentni medicini; 1997 jun 18-21; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		1997
Volume		str. 343-6
Language		slo
Abstract		A 78-year old woman with history of a moderate chronic biventricular heart failure suffered a cardiogenic shock after the first 80 mg oral dose of verapamil. She was resuscitated with artificial ventilation, dobutamine, norepinephrine and intravenous calcium gluconate. After 6 hours of treatment the patient gradually regained consciousness, breathed spontaneously, heart rate and blood pressure increased, and diuresis appeared. Toxicological analysis revealed unexpectedly high plasma verapamil concentration. We conclude that particularly in patients with pre-existent bivevtricular heart failure a single oral therapeutic dose of verapamil can be life threatening.
Descriptors		HEART FAILURE, CONGESTIVE VERAPAMIL SHOCK, CARDIOGENIC AGED