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題名 | Altered Mental Status Related to Carbamazepine-Induced Cardiac Conduction Dysfunction: A Case Report and Literature Review=卡馬西平誘發心臟傳導異常導致精神狀態改變:病例報告與文獻綜述 |
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作者 | 洪煒斌; 黃欽威; 黃英哲; 葉珀秀; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷期 | 10:2 2015.05[民104.05] |
頁次 | 頁116-122 |
分類號 | 418.21 |
關鍵詞 | 卡馬西平; 心臟傳導障礙; 心律不整; 意識障礙; 精神狀態改變; Carbamazepine; Cardiac conduction dysfunction; Arrhythmia; Consciousness disturbance; Altered mental status; |
語文 | 英文(English) |
中文摘要 | 卡馬西平在許多神經相關疾病的使用相當普遍。最為人知的藥物副作用包括造血系統功能異常、嚴重不良皮膚反應、或是肝功能異常。對於心血管系統所產生的異常在臨床上並不少見,卻較少被提及。以下我們會敘述一個病患因服用卡馬西平之後產生急性精神狀態改變,最後證實為此藥物誘發心搏過慢與心律不整所導致。 |
英文摘要 | Carbamazepine is a kind of popular drugs which is used in many neurological diseases. The well-known side effects include the dysfunction of hemopoietic systems, severe adverse cutaneous reactions, and abnormal liver function. Cardiovascular abnormality is not uncommon clinically but less mentioned. We introduce an elderly patient who had acute altered mental state after taking carbamazepine and was finally proved to be related to drug-induced cardiac bradyarrhythmia. |
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