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Lars Mommers, Thijs S R Delnoij, Ulrich Strauch, Under-the-counter acquired acute coronary syndrome: Methaemoglobinaemia, European Heart Journal. Acute Cardiovascular Care, Volume 5, Issue 8, 1 December 2016, Pages 549–550, https://doi.org/10.1177/2048872615579394
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Abstract
A 73-year-old male suffers a type-2 inferior myocardial infarction and is found unconscious, hypotensive and centrally cyanotic. His arterial blood gas analysis shows a chocolate-brown discoloration, with pO2 45.1 kPa, HbO2 48.9%, MetHb 51%, BE −9 and a lactate of 3.7 mmol/l. Administration of 200 mg of methylene blue intravenously, normalizes the patient’s abnormalities. His life-threatening acquired methaemoglobinaemia appears secondary to under-the-counter viagra.
© The European Society of Cardiology 2015
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