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Massive verapamil overdose complicated by noncardiogenic pulmonary edema

1996; Elsevier BV; Volume: 14; Issue: 5 Linguagem: Inglês

10.1016/s0735-6757(96)90151-5

1532-8171

Barry J Brass, Sherma Winchester-Penny, Bennet Lipper,

Cardiac Arrhythmias and Treatments

We describe two cases of pulmonary edema, bradycardia, and hypotension associated with massive verapamil overdose. A noncardiogenic etiology of the pulmonary edema was indicated in one patient by normal thermodilution cardiac output and pulmonary artery occlusion pressure, and in the other patient by a normal echocardiogram. We hypothesize that calcium channel blocker overdose predisposes patients to develop pulmonary edema.