The safety of protamine sulfate in diabetics undergoing cardiac catheterization
作者:
David C. Reed,
Joseph A. Gascho,
期刊:
Catheterization and Cardiovascular Diagnosis
(WILEY Available online 1988)
卷期:
Volume 14,
issue 1
页码: 19-23
ISSN:0098-6569
年代: 1988
DOI:10.1002/ccd.1810140105
出版商: Wiley Subscription Services, Inc., A Wiley Company
关键词: diabetes mellitus;cardiac catheterization;protamine sulfate;anaphylactoid reaction
数据来源: WILEY
摘要:
AbstractThe frequency of anaphylactoid reactions to protamine sulfate was examined by reviewing the records of diabetic patients undergoing cardiac catheterization over a 5‐year period, and by prospectively monitoring diabetic patients receiving NPH insulin during the infusion of protamine sulfate.No anaphylactoid reactions were noted after protamine administration (48 ± 5 mg) in the retrospective study in either patients with prior exposure to protamine (74 catheterizations) or in diabetics with no exposure to protamine (132 catheterizations). In the prospective study, no anaphylactoid reactions were seen in the 24 NPH insulin‐dependent diabetics during the infusion of protamine sulfate (45 ± 5 mg). Five of the 42 patients (12%) from the retrospective study who underwent vascular surgery developed severe reactions to much larger doses of protamine (380 ± 118 mg).Diabetics with prior exposure to protamine sulfate do not appear to be at increased risk of anaphylactoid reaction after the administration of protamine sulfate in the dose range of<50 mg at the time of cardiac catheteri
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