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13 articles, page 6 of 13

Correspondence

Digitalis Medication as the Cause of NOMI

Dtsch Arztebl Int 2012; 109(42): 709-10; DOI: 10.3238/arztebl.2012.0709c

Acute Mesenteric Ischemia: a Vascular Emergency by Prof. Dr. med. Ernst Klar, PD Dr. med. Parwis B. Rahmanian, Prof. Dr. med. Arno Bücker, Prof. Dr. med. Karlheinz Hauenstein, Prof. Dr. med. Dr. h.c. Karl-Walter Jauch and Prof. Dr. med. Dr. phil. Bernd Luther in volume 14/2012

I have read the article on the vascular emergency that is acute mesenteric ischemia with interest. Regarding the pathophysiology especially of nonocclusive mesenteric ischemia (NOMI), the authors focus on two scenarios: firstly, chronic hemodialysis, and secondly, clinical status after heart surgery. It is important to mention in this context that especially in older patients, overdosage of digitalis medication can be the cause of nonocclusive mesenteric ischemia, which is rare but none the less worth considering in the differential diagnostic considerations (1).

DOI: 10.3238/arztebl.2012.0709c

Dr. med. Robin Sen Gupta

St. Agnes-Hospital Bocholt

r.sengupta@st-agnes-bocholt.de

Conflict of interest statement
The author declares that no conflict of interest exists.

1.
Weil J, Sen Gupta R, Herfarth H: Nonocclusive mesenteric ischemia induced by digitalis. Int J Colorectal Dis 2004, 19: 277–80. CrossRef MEDLINE
2.
Klar E, Rahmanian PB, Bücker A, Hauenstein K, Jauch KW, Luther B: Acute mesenteric ischemia: a vascular emergency. Dtsch Arztebl Int 2012; 109(14): 249–56. VOLLTEXT