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- Title
Attention! One of the Causes of Second Degree Mobitz Type 1 AV Block: Pheniramine Maleate.
- Authors
Kurt, Fatih; Karademir, Selmin
- Abstract
Atrioventricular (AV) blockade is the loss of function of the pathways that provide electrical conduction between the sinoatrial (SA) node and the atrioventricular (AV) node. It is rated according to the level of distortion in the transmission. Myocarditis, inferior myocardial infarction (MI), previous heart operation, and treatment with drugs such as beta-blockers, calcium channel blockers, digoxin, and amiodarone can cause AV blockade. A patient was referred to the emergency department with swelling of her lips, itching, and rash. There were widespread urticarial rashes on her body. Pheniramine maleate was administered intramuscularly. Ten minutes later, the patient developed bradycardia and hypotension. A 2nd-degree Mobitz type 1 block was detected on the ECG. Pheniramine maleate is a first-generation, stable, potent sedative and antihistamine from the alkylamine group. It should be kept in mind that pheniramine maleate may cause AV blocks.
- Subjects
PHYSIOLOGIC salines; EDEMA; EXANTHEMA; INTRAMUSCULAR injections; HEAD-down tilt position; TREATMENT effectiveness; AMBULATORY electrocardiography; ANTIHISTAMINES; ITCHING; BRADYCARDIA; ELECTROCARDIOGRAPHY; HEART block; URTICARIA; LIPS; HYPOTENSION
- Publication
Konuralp Medical Journal / Konuralp Tip Dergisi, 2024, Vol 16, Issue 2, p210
- ISSN
1309-3878
- Publication type
Article
- DOI
10.18521/ktd.1409133