Prolonged ventricular asystole: a rare adverse effect of hydrocodone use

Prolonged ventricular asystole is a rare vagal reaction caused by hydrocodone use. Sinus bradycardia is a characteristic presentation of the vasovagal response; examples of other presentations include arrest or atrioventricular block. Physicians need to be aware of ventricular asystole due to vagall...

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Veröffentlicht in:The American journal of case reports Jg. 15; S. 450
Hauptverfasser: Sudhakaran, Sivakumar, Surani, Saherish S, Surani, Salim R
Format: Journal Article
Sprache:Englisch
Veröffentlicht: United States 21.10.2014
Schlagworte:
Analgesics, Opioid - adverse effects
Analgesics, Opioid - therapeutic use
Electrocardiography
Female
Heart Arrest - chemically induced
Heart Arrest - diagnosis
Heart Ventricles - drug effects
Heart Ventricles - physiopathology
Humans
Hydrocodone - adverse effects
Hydrocodone - therapeutic use
Middle Aged
Syncope, Vasovagal - chemically induced
Syncope, Vasovagal - diagnosis
Syncope, Vasovagal - physiopathology
ISSN:1941-5923, 1941-5923
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Abstract Prolonged ventricular asystole is a rare vagal reaction caused by hydrocodone use. Sinus bradycardia is a characteristic presentation of the vasovagal response; examples of other presentations include arrest or atrioventricular block. Physicians need to be aware of ventricular asystole due to vagally-mediated atrioventricular block caused by hydrocodone or other opiates. We present a case of prolonged ventricular asystole in a young patient due to a vasovagal reaction caused by the hydrocodone found in the hydrocodone/acetaminophen combination. Ventricular asystole can be a rare complication of hydrocodone found in hydrocodone/acetaminophen. Physicians need to be aware of this adverse effect, rather then resorting to expensive diagnostic interventions.
AbstractList Prolonged ventricular asystole is a rare vagal reaction caused by hydrocodone use. Sinus bradycardia is a characteristic presentation of the vasovagal response; examples of other presentations include arrest or atrioventricular block. Physicians need to be aware of ventricular asystole due to vagally-mediated atrioventricular block caused by hydrocodone or other opiates. We present a case of prolonged ventricular asystole in a young patient due to a vasovagal reaction caused by the hydrocodone found in the hydrocodone/acetaminophen combination. Ventricular asystole can be a rare complication of hydrocodone found in hydrocodone/acetaminophen. Physicians need to be aware of this adverse effect, rather then resorting to expensive diagnostic interventions.
Prolonged ventricular asystole is a rare vagal reaction caused by hydrocodone use. Sinus bradycardia is a characteristic presentation of the vasovagal response; examples of other presentations include arrest or atrioventricular block. Physicians need to be aware of ventricular asystole due to vagally-mediated atrioventricular block caused by hydrocodone or other opiates.BACKGROUNDProlonged ventricular asystole is a rare vagal reaction caused by hydrocodone use. Sinus bradycardia is a characteristic presentation of the vasovagal response; examples of other presentations include arrest or atrioventricular block. Physicians need to be aware of ventricular asystole due to vagally-mediated atrioventricular block caused by hydrocodone or other opiates.We present a case of prolonged ventricular asystole in a young patient due to a vasovagal reaction caused by the hydrocodone found in the hydrocodone/acetaminophen combination.CASE REPORTWe present a case of prolonged ventricular asystole in a young patient due to a vasovagal reaction caused by the hydrocodone found in the hydrocodone/acetaminophen combination.Ventricular asystole can be a rare complication of hydrocodone found in hydrocodone/acetaminophen. Physicians need to be aware of this adverse effect, rather then resorting to expensive diagnostic interventions.CONCLUSIONSVentricular asystole can be a rare complication of hydrocodone found in hydrocodone/acetaminophen. Physicians need to be aware of this adverse effect, rather then resorting to expensive diagnostic interventions.
Author Surani, Salim R
Surani, Saherish S
Sudhakaran, Sivakumar
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  organization: Department of Medicine, Texas A&M University Health Science Center, College Station, USA
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  givenname: Saherish S
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  givenname: Salim R
  surname: Surani
  fullname: Surani, Salim R
  organization: Department of Medicine, Texas A&M University Health Science Center, College Station, USA
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Snippet Prolonged ventricular asystole is a rare vagal reaction caused by hydrocodone use. Sinus bradycardia is a characteristic presentation of the vasovagal...
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SubjectTerms Analgesics, Opioid - adverse effects
Analgesics, Opioid - therapeutic use
Electrocardiography
Female
Heart Arrest - chemically induced
Heart Arrest - diagnosis
Heart Ventricles - drug effects
Heart Ventricles - physiopathology
Humans
Hydrocodone - adverse effects
Hydrocodone - therapeutic use
Middle Aged
Syncope, Vasovagal - chemically induced
Syncope, Vasovagal - diagnosis
Syncope, Vasovagal - physiopathology
Title Prolonged ventricular asystole: a rare adverse effect of hydrocodone use
URI https://www.ncbi.nlm.nih.gov/pubmed/25330933
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