Document Detail


Hypertensive crisis immediately after complete removal of phaeochromocytoma.
MedLine Citation:
PMID:  3711430     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A hypertensive crisis with an arterial blood pressure of 280/180 mmHg developed immediately after an apparently successful removal of a phaeochromocytoma. The blood pressure could not be lowered by phentolamine and not until the administration of dihydralazine and furosemide was the systemic pressure normalized. In addition to residual high concentrations of vasoactive substances, the hypertension may have been due to an overloaded vascular bed. Careful peroperative volume substitution in patients treated preoperatively with modern sympathetic blocking agents appears to be of great importance.
Authors:
H Johansson; B Brismar; G Hedenstierna
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Intensive care medicine     Volume:  12     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  1986  
Date Detail:
Created Date:  1986-07-10     Completed Date:  1986-07-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  56-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adrenal Gland Neoplasms / surgery*
Dihydralazine / therapeutic use
Furosemide / therapeutic use
Humans
Hypertension / drug therapy,  etiology*
Male
Middle Aged
Pheochromocytoma / surgery*
Postoperative Complications*
Chemical
Reg. No./Substance:
484-23-1/Dihydralazine; 54-31-9/Furosemide

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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