Refractory intraoperative hypotension with elevated serum tryptase

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Refractory intraoperative hypotension with elevated serum tryptase

Severe intraoperative hypotension has been reported in patients on angiotensin-converting enzyme inhibitors and angiotensin II receptor subtype 1 antagonists. We describe a patient on lisinopril who developed refractory intraoperative hypotension associated with increased serum tryptase level suggesting mast cell activation (allergic reaction). However, allergology workup ruled out an allergic ...

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Clinical characteristics and risk profile of patients with elevated baseline serum tryptase.

BACKGROUND The clinical relevance of elevated basal serum tryptase (eBST ≥ 11.4 ng/ml) often remains unclear. METHODS BST was assessed in 15,298 patients attending our outpatient clinic. Frequency and severity of anaphylaxis was compared in 900 patients with eBST and 900 patients with normal BST. The prevalence of eBST was evaluated in patients with drug reactions, urticaria, gastrointestinal...

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ژورنال

عنوان ژورنال: Asia Pacific Allergy

سال: 2015

ISSN: 2233-8276,2233-8268

DOI: 10.5415/apallergy.2015.5.1.47