Angiotensin-converting enzyme inhibitor induced angioedema. New therapy options

作者：Bas M^*; Kojda G; Stelter K

来源：Anaesthesist, 2011, 60(12): 1141-+.

DOI：10.1007/s00101-010-1798-3

• Angioedema
• Angiotensin-converting enzyme inhibitors
• Bradykinin
• Icatibant
• Quincke edema

Angiotensin-converting enzyme (ACE) inhibitors block the catalysis of angiotensin I to angiotensin II and also the breakdown of bradykinin. ACE inhibitor-induced angioedema is mediated by inhibited bradykinin degradation leading to enhanced bradykinin plasma levels. The efficacy of currently used standard treatments with antiallergic drugs is questionable. A patient with acute ACE inhibitor-induced angioedema was treated with icatibant, a specific bradykinin B2 receptor antagonist approved for the treatment of hereditary angioedema. A single subcutaneous injection of 30 mg icatibant resulted in a rapid onset of symptom relief and a remarkable shortening of duration of the attack.

• 出版日期2011-12