Bradycardia caused by intravenous nicardipine in an elderly patient with acute ischemic infarct.

Michael E Abboud, Sarah E Frasure

Journal: The American journal of emergency medicine 2016;34(4):761.e1-2

PMID: 26371831

Full Text on Elsevier Science View on PubMed

Abstract

Nicardipine is a dihydropyridine calcium-channel blocker that is frequently used in the acute treatment of hypertension in the emergency department (ED). Reflex sympathetic tachycardia is a well-described side effect of this medication. Two experimental studies and 1 anesthesia case report, however, have previously described nicardipine-induced bradycardia as a very rare side effect. We report the case of an elderly patient with an acute ischemic stroke who developed nicardipine-induced bradycardia in the ED.

Address: Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA 02115.; Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA 02115. Electronic address: [email protected].

DOI: 10.1016/j.ajem.2015.08.030

Link outs

Free resources

Medical:

https://medlineplus.gov/stroke.html

Other Literature Sources:

https://scite.ai/reports/26371831

Subscription / membership required

Full Text Sources:

MeSH Terms: Aged, Antihypertensive Agents, Bradycardia, Brain Ischemia, Calcium Channel Blockers, Humans, Hypertension, Infusions, Intravenous, Male, Nicardipine, Stroke