PMID- 17911446
OWN - NLM
STAT- MEDLINE
DCOM- 20071212
LR  - 20071003
IS  - 0077-8923 (Print)
IS  - 0077-8923 (Linking)
VI  - 1110
DP  - 2007 Sep
TI  - Acute ST elevation myocardial infarction during intravenous immunoglobulin 
      infusion.
PG  - 315-8
AB  - Intravenous immunoglobulin (IVIG) preparations are increasingly being used in the 
      treatment of autoimmune disorders. This treatment is regarded as generally safe, 
      and most of the adverse effects associated with IVIG administration are mild and 
      transient. This paper reports a 72-year-old patient with known ischemic heart 
      disease admitted for a Guillain-Barre syndrome variant, who developed acute ST 
      elevation myocardial infarction (MI) during the first hours of IVIG infusion. The 
      literature on acute MI during IVIG treatment is reviewed. Evaluation of each 
      patient for cardiovascular risk prior to IVIG treatment is recommended as is the 
      assessment of risk versus benefit. If IVIG is prescribed, we propose close 
      monitoring and slow infusion rate.
FAU - Barsheshet, Alon
AU  - Barsheshet A
AD  - Heart Institute, Sheba Medical Center, and Sackler Faculty of Medicine, Tel-Aviv 
      University, Israel.
FAU - Marai, Ibrahim
AU  - Marai I
FAU - Appel, Shmulik
AU  - Appel S
FAU - Zimlichman, Eyal
AU  - Zimlichman E
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - United States
TA  - Ann N Y Acad Sci
JT  - Annals of the New York Academy of Sciences
JID - 7506858
RN  - 0 (Immunoglobulins, Intravenous)
SB  - IM
MH  - Acute Disease
MH  - Aged
MH  - Humans
MH  - Immunoglobulins, Intravenous/administration & dosage/*adverse 
      effects/*therapeutic use
MH  - Immunotherapy
MH  - Infusions, Intravenous
MH  - Male
MH  - Myocardial Infarction/*chemically induced
EDAT- 2007/10/04 09:00
MHDA- 2007/12/13 09:00
CRDT- 2007/10/04 09:00
PHST- 2007/10/04 09:00 [pubmed]
PHST- 2007/12/13 09:00 [medline]
PHST- 2007/10/04 09:00 [entrez]
AID - 1110/1/315 [pii]
AID - 10.1196/annals.1423.033 [doi]
PST - ppublish
SO  - Ann N Y Acad Sci. 2007 Sep;1110:315-8. doi: 10.1196/annals.1423.033.