Myocardial Injury During Standard Treatment of an Adult with Status Asthmaticus

Said B. Iskandar Pulmonary Department, The Quillen Veterans Affairs Medical Center, 111‐B, Mountain Home, Tennessee, 37684‐4000, USA; Division of Pulmonary and Critical Care Medicine, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TennesseeUSA

, M.D.,

Mathew G. Mathai Pulmonary Department, The Quillen Veterans Affairs Medical Center, 111‐B, Mountain Home, Tennessee, 37684‐4000, USA; Division of Pulmonary and Critical Care Medicine, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TennesseeUSA

, M.D.,

Ryland P. Byrd Jr. Pulmonary Department, The Quillen Veterans Affairs Medical Center, 111‐B, Mountain Home, Tennessee, 37684‐4000, USA; Division of Pulmonary and Critical Care Medicine, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TennesseeUSA

, F.C.C.P. , M.D. &

Thomas M. Roy Pulmonary Department, The Quillen Veterans Affairs Medical Center, 111‐B, Mountain Home, Tennessee, 37684‐4000, USA; Division of Pulmonary and Critical Care Medicine, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TennesseeUSA

, F.C.C.P. , M.D.

Abstract

Asthma affects 5%–10% of adults in the United States. Older adults (> 65 years) with asthma have higher rates of fatal asthma than younger adults. The occurrence of a respiratory emergency, such as status asthmaticus, would seem likely to create a situation of cardiopulmonary dysfunction conducive to myocardial ischemia. However, multiple studies of fatal or near‐fatal asthma have failed to incriminate myocardial infarction as a contributing factor. We report a patient without underlying coronary artery disease who sustained myocardial injury consistent with myocardial ischemia and infarction during status asthmaticus while receiving recommended treatment without intravenous sympathomimetics or theophylline.

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Myocardial Injury During Standard Treatment of an Adult with Status Asthmaticus

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Myocardial Injury During Standard Treatment of an Adult with Status Asthmaticus

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