日大医学雑誌
Online ISSN : 1884-0779
Print ISSN : 0029-0424
ISSN-L : 0029-0424
症例報告
Glucagon for Adrenergic Refractory Anaphylactic Shockin Patients Taking Beta-Blockers during Coronary Angiography
Koyama YutakaKojima KeisukeFukamachi DaisukeOhgaku AkihitoFujito HidesatoEbuchi YasunariArai RikuMorikawa TomoyukiMonden MasakiMigita SuguruTakei NorioTamaki TakehiroAkutsu NaotakaMurata NobuhiroTakayama TadateruOkumura Yasuo
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2021 年 80 巻 3 号 p. 127-130

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Allergic reactions to iodine contrast agent rarely lead to anaphylactic shock affecting hemodynamics. We treated two cases of anaphylactic shock during coronary angiography, which did not respond to adrenaline because thepatients had taken beta-blockers. Instead, glucagon relieved their conditions. If patients treated with beta-blockersexperience anaphylactic shock during coronary angiography, we should consider glucagon as a treatment optionbecause the persistence of shock refractory to adrenaline leads to unfavorable outcomes.

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