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10.1097/MD.0000000000001939

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suck abstract from ncbi


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pmid26559262
      Medicine+(Baltimore) 2015 ; 94 (45 ): e1939
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  • Angioedema Related to Angiotensin-Converting Enzyme Inhibitors: Attack Severity, Treatment, and Hospital Admission in a Prospective Multicenter Study #MMPMID26559262
  • Javaud N ; Achamlal J ; Reuter PG ; Lapostolle F ; Lekouara A ; Youssef M ; Hamza L ; Karami A ; Adnet F ; Fain O
  • Medicine (Baltimore) 2015[Nov]; 94 (45 ): e1939 PMID26559262 show ga
  • The number of cases of acquired angioedema related to angiotensin converting enzyme inhibitors induced (ACEI-AAE) is on the increase, with a potential concomitant increase in life-threatening attacks of laryngeal edema. Our objective was to determine the main characteristics of ACEI-AAE attacks and, in doing so, the factors associated with likelihood of hospital admission from the emergency department (ED) after a visit for an attack.A prospective, multicenter, observational study (April 2012-December 2014) was conducted in EDs of 4 French hospitals in collaboration with emergency services (SAMU 93) and a reference center for bradykinin-mediated angioedema. For each patient presenting with an attack, emergency physicians collected demographic and clinical presentation data, treatments, and clinical course. They recorded time intervals from symptom onset to ED arrival and to treatment decision, from ED arrival to specific treatment with plasma-derived C1-inhibitor (C1-INH) or icatibant, and from specific treatment to onset of symptom relief. Attacks requiring hospital admission were compared with those not requiring admission.Sixty-two eligible patients with ACEI-AAE (56% men, median age 63 years) were included. Symptom relief occurred significantly earlier in patients receiving specific treatment than in untreated patients (0.5 [0.5-1.0] versus 3.9 [2.5-7.0] hours; P?
  • |Aged [MESH]
  • |Angioedema/*chemically induced/*diagnosis/therapy [MESH]
  • |Angiotensin-Converting Enzyme Inhibitors/*adverse effects [MESH]
  • |Cardiovascular Diseases/drug therapy [MESH]
  • |Emergency Service, Hospital [MESH]
  • |Female [MESH]
  • |Hospitalization [MESH]
  • |Humans [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Prospective Studies [MESH]


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