Hypoglycemia associated with preoperative metoprolol administration.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 15502042.
- Also identified by DOI 10.1213/01.ANE.0000135638.60722.E3.
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Abstract
Perioperative beta(1)-selective-adrenergic antagonist administration has been shown to decrease morbidity and mortality in patients with cardiac disease undergoing surgical procedures. We report a case of a patient receiving the selective beta(1)-adrenergic antagonist, metoprolol, immediately before surgery that was associated with severe hypoglycemia. We postulate that an underlying abnormality in energy requirements or metabolism may allow for beta(1)-selective-adrenergic antagonists to precipitate hypoglycemia.
Medical subject headings
- Adrenergic beta-Antagonists
- Hypoglycemia
- Metoprolol