Minoxidil poisoning presenting as acute coronary syndrome: a rare case scenario

Authors

  • Shrikant Kalyanrao Panchal Department of Cardiac Anaesthesia, Prathima Institute of Medical Sciences, Karimnagar, Andhra Pradesh
  • Nikhil Mudgalkar Department of Cardiac Anaesthesia, Prathima Institute of Medical Sciences, Karimnagar, Andhra Pradesh
  • K. Ravinder Reddy Department of Cardiology, Prathima Institute of Medical Sciences, Karimnagar, Andhra Pradesh

Keywords:

Minoxidil, Norepinephrine, Subendocardial ischemia

Abstract

We present a case of severe minoxidil poisoning (3000 mg) with resultant severe hypotension, tachycardia and subendocardial ischemia initially treated crystalloid, dopamine, aspirin, clopidogrel on the lines of acute coronary syndrome with partial haemodynamic improvement.   After getting the history of minoxidil poisoning, the patient was treated with bolus doses of norepinephrine, and norepinephrine infusion, resulting in resolution of hypertension, tachycardia and reversal of ischemia. Topical minoxidil is commonly used agent for male pattern baldness. It also has got antihypertensive action when ingested, acute coronary syndrome and compensatory tachycardia with successful management with norepinephrine bolus and infusion.

References

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Published

2017-01-23

How to Cite

Panchal, S. K., Mudgalkar, N., & Reddy, K. R. (2017). Minoxidil poisoning presenting as acute coronary syndrome: a rare case scenario. International Journal of Research in Medical Sciences, 2(2), 784–785. Retrieved from https://www.msjonline.org/index.php/ijrms/article/view/2248

Issue

Section

Case Reports