دورية أكاديمية

Overdose of angiotensin II receptor blocker in the third trimester of pregnancy: A case report.

التفاصيل البيبلوغرافية
العنوان: Overdose of angiotensin II receptor blocker in the third trimester of pregnancy: A case report.
المؤلفون: Takahashi, Ken, Kobayashi, Ryota, Morikawa, Kazuhiko, Maeda, Miku, Samura, Osamu, Okamoto, Aikou
المصدر: Journal of Obstetrics & Gynaecology Research; Aug2024, Vol. 50 Issue 8, p1425-1428, 4p
مصطلحات موضوعية: DRUG overdose, KIDNEY failure, THIRD trimester of pregnancy, HYPERTENSION, PREGNANCY outcomes, PREGNANT women, MAGNETIC resonance imaging, FETUS, ANGIOTENSIN receptors, PREGNANCY complications
مستخلص: Angiotensin II receptor blockers (ARBs) are contraindicated during pregnancy because of fetal toxicity. All previous reports on adverse fetal outcomes involved women who continued to take low‐dose ARBs for hypertension and were unaware of the adverse effects. Herein, we report the case of a 23‐year‐old pregnant woman in her third trimester who experienced an ARB overdose after an argument with her partner. Pregnancy was complicated by transient oligohydramnios, and fetal magnetic resonance imaging suggested renal failure. Despite these concerns, the newborn had no morphological abnormalities or abnormal neurological findings. Renal impairment improved over time, and the infant grew well. A single overdose of ARBs in the third trimester can lead to fetal renal failure, similar to long‐term low‐dose ARB administration; however, favorable outcomes are possible. An overdose of ARBs may transiently cause renal failure, which may improve. The study findings may inform counseling for women who are unexpectedly exposed to an overdose of ARBs. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Obstetrics & Gynaecology Research is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
قاعدة البيانات: Complementary Index
الوصف
تدمد:13418076
DOI:10.1111/jog.16003