Myocardial injury during standard treatment of an adult with status asthmaticus. |
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Authors: | Said B Iskandar Mathew G Mathai Ryland P Byrd Thomas M Roy |
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Affiliation: | The Quillen Veterans Affairs Medical Center, Mountain Home, Tennessee , USA 37684-4000, USA. |
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Abstract: | Asthma affects 5%-10% of adults in the United States. Older adults (> 65 years) with asthma have higher rates of fatal asthma than younger adults. The occurrence of a respiratory emergency, such as status asthmaticus, would seem likely to create a situation of cardiopulmonary dysfunction conducive to myocardial ischemia. However, multiple studies of fatal or near-fatal asthma have failed to incriminate myocardial infarction as a contributing factor. We report a patient without underlying coronary artery disease who sustained myocardial injury consistent with myocardial ischemia and infarction during status asthmaticus while receiving recommended treatment without intravenous sympathomimetics or theophylline. |
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