A Case of Postprandial Hypotension in the Intensive Care Unit Treated With Acarbose.
10.4070/kcj.2011.41.10.629
- Author:
Joon Hyouk CHOI
1
;
Hyung Seok LEE
;
Tae Yu LEE
;
EunHa JANG
;
Min Ho KANG
;
Dae Kyoung CHO
Author Information
1. Department of Medicine, Hanmaeum Hospital, Jeju, Korea. yumtong001@hanmail.net
- Publication Type:Case Report
- Keywords:
Cardiopulmonary resuscitation;
Postprandial period;
Hypotension, shock
- MeSH:
Acarbose;
Aged;
Cardiopulmonary Resuscitation;
Humans;
Hypoglycemia;
Hypotension;
Critical Care;
Intensive Care Units;
Postprandial Period;
Tachycardia;
Tachycardia, Ventricular
- From:Korean Circulation Journal
2011;41(10):629-631
- CountryRepublic of Korea
- Language:English
-
Abstract:
Postprandial hypotension (PPH) has not been described as a cause of hypotension after the return of spontaneous circulation (ROSC) in the intensive care unit (ICU). A 74 year old man underwent cardiopulmonary resuscitation (CPR) due to monomorphic ventricular tachycardia. After the ROSC, inotropic agents were not reduced but increased. PPH had occurred, according to the flow sheet, so a provocation test was performed. We noted hypotension but no serum hypoglycemia or tachycardia. The hypotension was diagnosed as PPH. We chose acarbose for treatment; thus, the inotropic agents were discontinued. This is the first case in which hypotension occurred in a patient recovering after CPR in the ICU and that the PPH was treated with acarbose. PPH should be considered and treated to manage hypotension in elderly patients in the ICU.
