메토클로프라마이드에 의해 유발된 심실빈맥 1례
A case of metoclopramide induced ventricular tachycardia
이주환, 전재천, 성화석,
소속 상세정보
이주환 ( Lee Joo-Hwan )
대구파티마병원 응급의학과
전재천 ( Jun Jae-Chun )
계명대학교 동산의료원 응급의학과
성화석 ( Sung Hwa-Suk )
대구파티마병원 응급의학과
KMID : 0385920200310010120
Abstract
Metoclopramide is prokinetic drug that inhibits dopamine receptors, and it is commonly used in emergency rooms because of its anti-emetic effect. A 71-year-old man visited the hospital with upper abdominal pain and nausea, but agitation and cold sweating were observed after 5 minutes of metoclopramide injection. The vital signs were blood pressure: 120/70 mmHg, heart rate: 170/minute, respiration: 23 breaths/minute, and temperature: 37.5。C, and the electrocardiogram (ECG) showed ventricular tachycardia. One hour after the injection of amiodarone, normal sinus rhythm was shown on the ECG and the vital signs were stable. Metoclopramide is known to be relatively safe, but rarely causes serious cardiovascular side effects. Therefore, emergency physicians should be aware that metoclopramide can cause serious side effects.
키워드
Metoclopramide; Ventricular tachycardia; Electrocardiography; Adverse effects
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