Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0020538 (hypertension)
 170,190 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

We studied 16 patients of abdominal aortic occlusion by digital subtraction angiography (DSA) in order to assess the advantages and limitations of Intravenous (IV) and Intra-arterial (IA) imaging in this rare clinical setting. All the patients had systemic hypertension and 14 patients (87.5%) also had associated coronary artery disease. Ten patients underwent IV-DSA and all were diagnostic. Eight of them had "stable" angina and, of these three patients (37.5%) developed clinical features of angina pectoris 5 to 10 minutes after the study. The remaining 6 patients who had "unstable" angina underwent an uneventful IA-DSA by transbrachial route. Intravenous DSA should be performed with caution since both the central venous contrast injection and Buscopan injection, used to control intestinal peristalsis, result in a transient increase in the cardiac workload, increase the myocardial oxygen demand and can precipitate myocardial ischaemia in the "high-risk" coronary patients. These patients should be electively studied by IA-DSA by transbrachial route inspite of the fact that IV-DSA examinations, if done, are usually diagnostic.
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PMID:Invasive imaging of abdominal aortic occlusions: intravenous versus intra-arterial route. 207 76

We report on a patient with acute pancreatitis whose pain was resistant to simultaneous administration of morphine, procaine and Buscopan. This episode was complicated by development of hypertension, tachycardia, angina pectoris, ventricular arrhythmias and electrocardiographic modifications. Analgesia was provided by epidural administration of fentanyl and bupivacaine and brought about rapid resolution of all symptoms. The usefulness of epidural analgesia in acute pancreatitis is discussed.
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PMID:[The value of epidural analgesia in acute pancreatitis]. 230 24