Acute myocardial infarction coincident with gastric ulcer bleeding following herbal medication-induced acute renal failure.
- Author:
Ki Woon KANG
1
;
Kyung Jin LEE
;
Hyeon Soo YOON
;
Yong Soo CHO
;
Si Bum KIM
;
Sahng LEE
;
Sung Hee JUNG
Author Information
1. Department of Internal Medicine, Eulji University School of Medicine, Daejeon, Korea. lee.kjlee@gmail.com
- Publication Type:Case Report
- Keywords:
Acute renal failure;
Acute myocardial infarction;
Gastric ulcer bleeding;
Herbal medication
- MeSH:
Acute Kidney Injury;
Aloe;
Arteries;
Cicatrix;
Diuretics;
Eating;
Endoscopy;
Functional Food;
Glycyrrhiza;
Hemorrhage;
Heparin;
Humans;
Hydroxymethylglutaryl-CoA Reductase Inhibitors;
Infarction;
Myocardial Infarction;
Percutaneous Coronary Intervention;
Platelet Aggregation Inhibitors;
Proton Pump Inhibitors;
Stents;
Stomach Ulcer;
Ulcer
- From:Korean Journal of Medicine
2010;78(3):364-369
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute renal failure, acute myocardial infarction (AMI), and gastric ulcer bleeding (GUB) are associated with high rates of morbidity and mortality, especially in older patients. The development of each of these conditions can be followed by the development of another; however, it is rare for these three conditions to develop concurrently. Here, we report the case of a 92-year-old man who was admitted because of generalized weakness that developed after the ingestion of nothing but functional foods, including herbal medications containing Glycyrrhiza and Aloe, for ten days. After admission, AMI and GUB developed approximately six hours apart. Conservative treatment was chosen for the bleeding ulcer because of the high procedural risk, and the use of antiplatelet agents and heparinization for treatment of the infarction were stopped. The patient remained hemodynamically stable following the administration of a statin, diuretics, and proton pump inhibitors. A healed scar at the site of the ulcer was confirmed three weeks later; however, postinfarct angina developed after the patient's last endoscopy. Percutaneous coronary intervention was successfully performed with two stents placed in the left anterior descending artery.
