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10.7759/cureus.2039

http://scihub22266oqcxt.onion/10.7759/cureus.2039
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C5843381!5843381 !29541560
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suck abstract from ncbi


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pmid29541560
      Cureus 2018 ; 10 (1 ): e2039
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  • Managing Postural Hypotension in Diabetic Autonomic Dysfunction When Adrenergic Drugs are Contraindicated: Case Report and Review of Literature #MMPMID29541560
  • Bokhari SRA ; Akhtar F ; Abid QU ; Jahanzaib U ; Bokhari MR ; Hasan S ; Khan K
  • Cureus 2018[Jan]; 10 (1 ): e2039 PMID29541560 show ga
  • Postural hypotension, as a manifestation of autonomic neuropathy is a very sinister long-term debilitating complication of diabetes, is usually irreversible and tough to manage with medications. The treatment of this condition following the standard treatment protocols can be contraindicated in the patients with underlying heart conditions. We report the case of a patient at our hospital who presented with full-blown symptomatic dysautonomia secondary to long-standing diabetes, with bedside testing positive for autonomic dysfunction. Treating this patient with the standard protocol of adrenergic agonist could have worsened his underlying coronary artery disease. So, we moved a step aside to go out of the box and we have a trial of the ?1-selective beta-blocker, with astonishing results and significant improvement in the quality of life and symptoms of postural hypotension. We report here the use of alternative treatment option in managing a patient with severe postural hypotension secondary to diabetes-related autonomic neuropathy when adrenergic drugs are contraindicated.
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