Dexmedetomidine for Cocaine-Induced Hypertensive Emergency
Author Information
Author(s): Javed Fahad, Benjo Alexandre Miguel, Reddy Kiran, Shoaib Akram Muhammad, Khan Shahzeb Afsar, Sabharwal Manpreet Singh, Nadkarni Girish, Aziz Emad F., Herzog Eyal
Primary Institution: St. Luke's Roosevelt Hospital Center, University Hospital for College of Physicians and Surgeons of Columbia University
Hypothesis
Dexmedetomidine can effectively control hypertension in patients experiencing cocaine-induced aortic dissection.
Conclusion
Dexmedetomidine is a promising treatment for managing cocaine-induced hypertensive emergencies and aortic dissection.
Supporting Evidence
- Cocaine users have a higher incidence of aortic dissection.
- Dexmedetomidine is FDA approved for sedation but shows promise in managing hypertension.
- The patient did not respond to traditional antihypertensive medications.
- Dexmedetomidine was administered after other treatments failed.
Takeaway
This study shows that a medicine called Dexmedetomidine can help people who have high blood pressure from using cocaine, especially when other treatments don't work.
Methodology
Case report detailing the use of Dexmedetomidine in a patient with cocaine-induced aortic dissection.
Limitations
The study is based on a single case report, limiting generalizability.
Participant Demographics
A 45-year-old woman with a history of diabetes type II and hypertension.
Digital Object Identifier (DOI)
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