Propranolol-associated hypoglycemia in patients on maintenance hemodialysis.

作者: A. Zarate , M. Gelfand , A. Novello , J. Knepshield , H.G. Preuss

DOI: 10.1177/039139888100400306

关键词: HemodialysisComplicationMalnutritionMedicineDialysisAnesthesiaMaintenance hemodialysisHypoglycemiaPropranololIn patient

摘要: Propranolol is widely employed in hemodialysis patients for the control of renin-dependent hypertension. Infrequent reports have linked hypoglycemia and propranolol, especially complex situations such as malnutrition, anesthesia, excessive insulin use. Three on maintenance taking propranolol developed severe resulting cardiac arrest. The life-threatening occurred without apparent precipitating cause unaccompanied by classical signs symptoms hypoglycemia. These three cases suggest that a setting chronic renal failure dialysis may bring about hypoglycemia, complication previously unsuspected.

参考文章(26)
EugeneA. Abramson, RonaldA. Arky, KennethA. Woeber, EFFECTS OF PROPRANOLOL ON THE HORMONAL AND METABOLIC RESPONSES TO INSULIN-INDUCED HYPOGLYCÆMIA The Lancet. ,vol. 288, pp. 1386- 1389 ,(1966) , 10.1016/S0140-6736(66)90422-3
DavidS. David, AllenC. Sthere, XavierF. Pi-Sunyer, Soichi Sakai, SusanB. Clark, ASPIRIN-INDUCED HYPOGLYCÆMIA IN A PATIENT ON HÆMODIALYSIS The Lancet. ,vol. 298, pp. 1092- 1093 ,(1971) , 10.1016/S0140-6736(71)90409-0
Marshall B. Block, Spontaneous Hypoglycemia in Diabetic Patients With Renal Insufficiency JAMA: The Journal of the American Medical Association. ,vol. 213, pp. 1863- 1866 ,(1970) , 10.1001/JAMA.1970.03170370047008
Edwin A. Rutsky, Spontaneous Hypoglycemia in Chronic Renal Failure Archives of Internal Medicine. ,vol. 138, pp. 1364- 1368 ,(1978) , 10.1001/ARCHINTE.1978.03630340036013
Philip Felig, The glucose-alanine cycle Metabolism. ,vol. 22, pp. 179- 207 ,(1973) , 10.1016/0026-0495(73)90269-2
Oliver E. Owen, Philip Felig, Alfred P. Morgan, John Wahren, George F. Cahill, Liver and kidney metabolism during prolonged starvation Journal of Clinical Investigation. ,vol. 48, pp. 574- 583 ,(1969) , 10.1172/JCI106016
Steven J. Peitzman, Brajesh N. Agarwal, Spontaneous hypoglycemia in end-stage renal failure. Nephron. ,vol. 19, pp. 131- 139 ,(1977) , 10.1159/000180877
Saulo Klahr, Tewfik Nawar, Anton C. Schoolwerth, Effects of catecholamines on ammoniagenesis and gluconeogenesis by renal cortex in vitro. Biochimica et Biophysica Acta. ,vol. 304, pp. 161- 168 ,(1973) , 10.1016/0304-4165(73)90124-4