Insulin-induced cardiac failure
Self-limited edema is a well-recognized complication of insulin therapy. However, progression to overt cardiac failure has only recently been reported in one patient with pre-existing heart disease. This report describes the first case of insulin-induced cardiac failure in a patient without underlyi...
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Veröffentlicht in: | The American journal of medicine 1985-01, Vol.79 (1), p.147-148 |
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creator | Sheehan, John P. Sisam, David A. Schumacher, O.Peter |
description | Self-limited edema is a well-recognized complication of insulin therapy. However, progression to overt cardiac failure has only recently been reported in one patient with pre-existing heart disease. This report describes the first case of insulin-induced cardiac failure in a patient without underlying heart disease. Current trends toward intensive insulin therapy for rapid near-normalization of blood glucose levels will increase the recognition of this entity. Careful follow-up of so-called “self-limited” insulin edema is encouraged, and the early institution of diuretic therapy is advocated in elderly patients to prevent the development of overt cardiac failure. |
doi_str_mv | 10.1016/0002-9343(85)90562-5 |
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However, progression to overt cardiac failure has only recently been reported in one patient with pre-existing heart disease. This report describes the first case of insulin-induced cardiac failure in a patient without underlying heart disease. Current trends toward intensive insulin therapy for rapid near-normalization of blood glucose levels will increase the recognition of this entity. Careful follow-up of so-called “self-limited” insulin edema is encouraged, and the early institution of diuretic therapy is advocated in elderly patients to prevent the development of overt cardiac failure.</description><identifier>ISSN: 0002-9343</identifier><identifier>EISSN: 1555-7162</identifier><identifier>DOI: 10.1016/0002-9343(85)90562-5</identifier><identifier>PMID: 4014301</identifier><identifier>CODEN: AJMEAZ</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Aged ; Biological and medical sciences ; Diabetes Mellitus, Type 2 - drug therapy ; Female ; Heart Failure - chemically induced ; Hormones. Endocrine system ; Humans ; Insulin, Long-Acting - adverse effects ; Insulin, Long-Acting - therapeutic use ; Medical sciences ; Pharmacology. 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However, progression to overt cardiac failure has only recently been reported in one patient with pre-existing heart disease. This report describes the first case of insulin-induced cardiac failure in a patient without underlying heart disease. Current trends toward intensive insulin therapy for rapid near-normalization of blood glucose levels will increase the recognition of this entity. Careful follow-up of so-called “self-limited” insulin edema is encouraged, and the early institution of diuretic therapy is advocated in elderly patients to prevent the development of overt cardiac failure.</description><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Diabetes Mellitus, Type 2 - drug therapy</subject><subject>Female</subject><subject>Heart Failure - chemically induced</subject><subject>Hormones. Endocrine system</subject><subject>Humans</subject><subject>Insulin, Long-Acting - adverse effects</subject><subject>Insulin, Long-Acting - therapeutic use</subject><subject>Medical sciences</subject><subject>Pharmacology. Drug treatments</subject><subject>Pulmonary Edema - chemically induced</subject><subject>Pulmonary Edema - diagnostic imaging</subject><subject>Radiography</subject><issn>0002-9343</issn><issn>1555-7162</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1Lw0AQhhdRaq3-A8UeRPQQnU129uMiSPGjUPCi52WzmcBKmtbdRvDfm9rQo6dhmGeGeR_GzjncceDyHgDyzBSiuNF4awBlnuEBG3NEzBSX-SEb75FjdpLSZ9-CQTliIwFcFMDH7HLepq4JbRbaqvNUTb2LVXB-WrvQdJFO2VHtmkRnQ52wj-en99lrtnh7mc8eF5kXXG0yzXWuQKgcK1J5iRUvAb0DQFAOS6mxNtyRAwNkkAOR0YXx2pVlzYXzxYRd7-6u4-qro7Sxy5A8NY1radUly0UuuZCmB8UO9HGVUqTarmNYuvhjOditF7sNbbehrUb758Viv3Yx3O_KJVX7pUFEP78a5i5519TRtT6kPaYlikKpHnvYYdS7-A4UbfKB2l5ciOQ3tlqF___4Bcu5e9Q</recordid><startdate>19850101</startdate><enddate>19850101</enddate><creator>Sheehan, John P.</creator><creator>Sisam, David A.</creator><creator>Schumacher, O.Peter</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U7</scope><scope>C1K</scope></search><sort><creationdate>19850101</creationdate><title>Insulin-induced cardiac failure</title><author>Sheehan, John P. ; Sisam, David A. ; Schumacher, O.Peter</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-8182704725de72b5d1b05ca00507a5b685f91aea090e9510ee9839c8abbf14ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Diabetes Mellitus, Type 2 - drug therapy</topic><topic>Female</topic><topic>Heart Failure - chemically induced</topic><topic>Hormones. Endocrine system</topic><topic>Humans</topic><topic>Insulin, Long-Acting - adverse effects</topic><topic>Insulin, Long-Acting - therapeutic use</topic><topic>Medical sciences</topic><topic>Pharmacology. 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subjects | Aged Biological and medical sciences Diabetes Mellitus, Type 2 - drug therapy Female Heart Failure - chemically induced Hormones. Endocrine system Humans Insulin, Long-Acting - adverse effects Insulin, Long-Acting - therapeutic use Medical sciences Pharmacology. Drug treatments Pulmonary Edema - chemically induced Pulmonary Edema - diagnostic imaging Radiography |
title | Insulin-induced cardiac failure |
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