Massive verapamil overdose complicated by noncardiogenic pulmonary edema

Am J Emerg Med. 1996 Sep;14(5):459-61. doi: 10.1016/S0735-6757(96)90151-5.

Abstract

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.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Bradycardia / chemically induced
  • Calcium Channel Blockers / poisoning*
  • Combined Modality Therapy
  • Critical Care
  • Drug Overdose
  • Female
  • Humans
  • Male
  • Respiratory Distress Syndrome / chemically induced*
  • Respiratory Distress Syndrome / therapy
  • Suicide, Attempted
  • Verapamil / poisoning*

Substances

  • Calcium Channel Blockers
  • Verapamil