Cardiogenic shock triggered by verapamil and atenolol: a case report of therapeutic experience with intravenous calcium

Jpn Circ J. 2000 Nov;64(11):893-6. doi: 10.1253/jcj.64.893.

Abstract

Cardiogenic shock developed in a 72-year-old Japanese woman during combination therapy with verapamil and atenolol for recurrent supraventricular arrhythmia. She had coronary atherosclerosis, liver cirrhosis and bradycardia-tachycardia syndrome. Despite of the high-dose catecholamines and counterpulsation, she progressively deteriorated. Bolus administration of intravenous calcium chloride (CaCl2) immediately resolved her hemodynamic collapse.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adrenergic beta-Antagonists / administration & dosage
  • Adrenergic beta-Antagonists / adverse effects*
  • Aged
  • Atenolol / administration & dosage
  • Atenolol / adverse effects*
  • Atrial Fibrillation / drug therapy*
  • Atrial Fibrillation / etiology
  • Bradycardia / complications
  • Bradycardia / therapy
  • Calcium Channel Blockers / administration & dosage
  • Calcium Channel Blockers / adverse effects*
  • Calcium Channels, L-Type / drug effects
  • Calcium Channels, L-Type / physiology
  • Calcium Chloride / administration & dosage
  • Calcium Chloride / therapeutic use*
  • Combined Modality Therapy
  • Counterpulsation
  • Drug Interactions
  • Drug Therapy, Combination
  • Female
  • Humans
  • Hypertension / complications
  • Hypertension / diet therapy
  • Hypertrophy, Left Ventricular / complications
  • Injections, Intravenous
  • Liver Cirrhosis / complications
  • Pacemaker, Artificial
  • Shock, Cardiogenic / chemically induced*
  • Shock, Cardiogenic / drug therapy
  • Shock, Cardiogenic / therapy
  • Tachycardia, Supraventricular / drug therapy*
  • Tachycardia, Supraventricular / etiology
  • Tachycardia, Supraventricular / therapy
  • Vasodilator Agents / administration & dosage
  • Vasodilator Agents / adverse effects*
  • Verapamil / administration & dosage
  • Verapamil / adverse effects*

Substances

  • Adrenergic beta-Antagonists
  • Calcium Channel Blockers
  • Calcium Channels, L-Type
  • Vasodilator Agents
  • Atenolol
  • Verapamil
  • Calcium Chloride