J Korean Soc Emerg Med.  2005 Feb;16(1):210-213.

A Case Report of Effective Use of an Intra-aortic Balloon Pump in Calcium Channel Blocker Intoxication

• Hyun SY
• Jung TG
• Lee JG
• Kim JJ
• Kim JK
• Lim YS
• Yang HJ
• Lee SK

Abstract

When used appropriately, calcium channel blockers are safe and efficacious. When overdose, however, these agents have the potential for serious morbidity which can lead to profound bradycardia and hypotension. The initial management of a calcium channel blocker overdose is supportive care, including stabilization and decontamination, followed by pharmacotherapy, including calcium agents, glucagon, insulin, catecholamines, and phosphodiesterase inhibitors (amrinone and milirone). Intra-aortic balloon pumps (IABP), extracorporeal membrane oxygenation, and even cardiopulmonary bypass, followed by conventional therapy have been used for patients with hypotension and bradycardia. We report a case of successful treatment with an IABP followed by pharmacotherapy.

Keyword

Calcium channel blocker; Intra-aortic balloon pump

MeSH Terms

Bradycardia
Calcium Channel Blockers
Calcium Channels*
Calcium*
Cardiopulmonary Bypass
Catecholamines
Decontamination
Drug Therapy
Extracorporeal Membrane Oxygenation
Glucagon
Humans
Hypotension
Insulin
Phosphodiesterase Inhibitors
Calcium
Calcium Channel Blockers
Calcium Channels
Catecholamines
Glucagon
Insulin
Phosphodiesterase Inhibitors