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      Delirium Tremens Is Associated with Increased Mortality in Acute Coronary Syndrome

      a , * , b

      Cardiology

      S. Karger AG

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          Most cited references 7

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          Management of drug and alcohol withdrawal.

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            Successful use of propofol in refractory delirium tremens.

            Alcohol withdrawal is a common problem encountered by emergency physicians, with delirium tremens (DT) as the extreme manifestation. DT is a true medical emergency. Although benzodiazepines are the mainstay of therapy, some patients require massive amounts to control their symptoms. We report the successful use of propofol for DT refractory to benzodiazepines in a 42-year-old alcoholic man. We briefly discuss alcohol withdrawal, as well as the pharmacokinetics and adverse affects of propofol. The use of propofol in treating DT refractory to benzodiazepines has previously not been reported.
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              Acute Myocardical Infarction due toDelirium tremens

              A 36-year-old patient with normal-appearing coronary arteries suffered an acute Q-wave myocardial infarction during acute alcohol withdrawal and delirium tremens. Sympathetic hyperactivity with coronary spasm and increased platelet reactivity are probably the underlying mechanisms.
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                Author and article information

                Journal
                CRD
                Cardiology
                10.1159/issn.0008-6312
                Cardiology
                S. Karger AG
                0008-6312
                1421-9751
                2016
                January 2016
                03 November 2015
                : 133
                : 2
                : 122-123
                Affiliations
                aDepartment of Cardiology, Faculty of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, and bDepartment of Cardiology, Faculty of Medicine, Suleyman Demirel University, Isparta, Turkey
                Author notes
                *Gurkan Acar, MD, Department of Cardiology, Faculty of Medicine, Kahramanmaras Sutcu Imam University, TR-46100 Kahramanmaras (Turkey), E-Mail gurkandracar@hotmail.com
                Article
                440609 Cardiology 2016;133:122-123
                10.1159/000440609
                26523695
                © 2012 S. Karger AG, Basel

                Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug. Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

                Page count
                References: 11, Pages: 2
                Categories
                Letter to the Editor

                General medicine, Neurology, Cardiovascular Medicine, Internal medicine, Nephrology

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