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2018 ; 10
(1
): e2039
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
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.