Life-threatening angioedema induced by angiotensin-converting enzyme inhibitor: two case reports

<p class="Standard"><span lang="EN-US">Background. Angioedema is a rare but potentially very serious complication of treatment with angiotensin converting enzyme inhibitors (ACEI). Angioedema is due to the accumulation of bradykinin, because angiotensin<s> </...

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Main Authors: Erik Rupnik, Stojan Kariž, Črtomir Iglič, Mihaela Zidarn
Format: Article
Language:English
Published: Slovenian Medical Association 2016-01-01
Series:Zdravniški Vestnik
Subjects:
Online Access:http://vestnik.szd.si/index.php/ZdravVest/article/view/1349
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author Erik Rupnik
Stojan Kariž
Črtomir Iglič
Mihaela Zidarn
author_facet Erik Rupnik
Stojan Kariž
Črtomir Iglič
Mihaela Zidarn
author_sort Erik Rupnik
collection DOAJ
description <p class="Standard"><span lang="EN-US">Background. Angioedema is a rare but potentially very serious complication of treatment with angiotensin converting enzyme inhibitors (ACEI). Angioedema is due to the accumulation of bradykinin, because angiotensin<s> </s>converting enzyme is the key enzyme for its degradation.</span></p><p class="Standard"><span lang="EN-US">Case reports. We present two patients with life-threatening angioedema while taking ACEI. Both patients had already had episodes of angioedema. Angioedema didn't respond to adrenaline. In both patients intubation was difficult.</span></p><p class="Standard"><span lang="EN-US">Conclusion. In the acute phase of angioedema due to ACEI it is necessary to protect the airways. Bradykinin receptor inhibitors shorten the duration of episodes of angioedema. In the long term it is essential to permanently avoid ACEI.</span></p>
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spelling doaj.art-4a32ff2593574d9095b0e413dbef40322022-12-21T18:11:07ZengSlovenian Medical AssociationZdravniški Vestnik1318-03471581-02242016-01-0184121066Life-threatening angioedema induced by angiotensin-converting enzyme inhibitor: two case reportsErik Rupnik0Stojan Kariž1Črtomir Iglič2Mihaela Zidarn3General Hospital IzolaGeneral Hospital IzolaGeneral Hospital IzolaUniversity Clinic of Respiratory and Allergic Diseases<p class="Standard"><span lang="EN-US">Background. Angioedema is a rare but potentially very serious complication of treatment with angiotensin converting enzyme inhibitors (ACEI). Angioedema is due to the accumulation of bradykinin, because angiotensin<s> </s>converting enzyme is the key enzyme for its degradation.</span></p><p class="Standard"><span lang="EN-US">Case reports. We present two patients with life-threatening angioedema while taking ACEI. Both patients had already had episodes of angioedema. Angioedema didn't respond to adrenaline. In both patients intubation was difficult.</span></p><p class="Standard"><span lang="EN-US">Conclusion. In the acute phase of angioedema due to ACEI it is necessary to protect the airways. Bradykinin receptor inhibitors shorten the duration of episodes of angioedema. In the long term it is essential to permanently avoid ACEI.</span></p>http://vestnik.szd.si/index.php/ZdravVest/article/view/1349isolated angioedema, angiotensin converting enzyme inhibitors, bradykinin, icatibant, difficult intubation
spellingShingle Erik Rupnik
Stojan Kariž
Črtomir Iglič
Mihaela Zidarn
Life-threatening angioedema induced by angiotensin-converting enzyme inhibitor: two case reports
Zdravniški Vestnik
isolated angioedema, angiotensin converting enzyme inhibitors, bradykinin, icatibant, difficult intubation
title Life-threatening angioedema induced by angiotensin-converting enzyme inhibitor: two case reports
title_full Life-threatening angioedema induced by angiotensin-converting enzyme inhibitor: two case reports
title_fullStr Life-threatening angioedema induced by angiotensin-converting enzyme inhibitor: two case reports
title_full_unstemmed Life-threatening angioedema induced by angiotensin-converting enzyme inhibitor: two case reports
title_short Life-threatening angioedema induced by angiotensin-converting enzyme inhibitor: two case reports
title_sort life threatening angioedema induced by angiotensin converting enzyme inhibitor two case reports
topic isolated angioedema, angiotensin converting enzyme inhibitors, bradykinin, icatibant, difficult intubation
url http://vestnik.szd.si/index.php/ZdravVest/article/view/1349
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AT crtomiriglic lifethreateningangioedemainducedbyangiotensinconvertingenzymeinhibitortwocasereports
AT mihaelazidarn lifethreateningangioedemainducedbyangiotensinconvertingenzymeinhibitortwocasereports