• Der Anaesthesist · Nov 2005

    Case Reports

    [Successful resuscitation of a patient with hyperkalemic cardiac arrest by emergency hemodiafiltration].

    • D Gütlich, M Hochscherf, and H-B Hopf.
    • Zentrale Abteilung für Anästhesie und Perioperative Medizin, Asklepios Kliniken, Langen/Seligenstadt. Guetlich@gmx.de
    • Anaesthesist. 2005 Nov 1;54(11):1100-4.

    AbstractThe combination of spironolactone with an ACE inhibitor for patients with heart failure may cause severe hyperkalemia. We report the case of a female patient, who developed hyperkalemic (11.4 mmol/l) cardiac arrest probably induced by combined spironolactone and ACE-inhibitor therapy. She was treated successfully by hemodiafiltration under on-going resuscitation which resulted in restoration of spontaneous circulation within 30 min of starting CPR. She was discharged 2 weeks later without any residual neurological effects.

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