@article{ref1,
title="Myocardial injury without electrocardiographic changes after a suicide attempt by an overdose of glimepiride and zolpidem: a case report and literature review",
journal="Internal medicine",
year="2015",
author="Chou, Shengpu and Ayabe, Seiji and Sekine, Nobuo",
volume="54",
number="21",
pages="2727-2733",
abstract="A 40-year-old diabetic man was admitted to our hospital for poor glycemic control. During hospitalization, he took 42 mg glimepiride and 50 mg zolpidem as a suicide attempt. The following day, the creatine kinase-MB fraction and troponin I levels were elevated to 112 IU/L and 8.77 ng/mL, respectively, without any electrocardiographic abnormalities. The patient recovered completely without any complications. Four weeks later, coronary computed tomography angiography and myocardial perfusion scintigraphy revealed moderate one-vessel coronary disease without the evidence of myocardial ischemia or old infarction. Cardiac-specific markers must be considered in sulfonylurea-induced hypoglycemic patients, particularly when the patient is unconscious and does not exhibit any clinical manifestations.<p /> <p>Language: en</p>",
language="en",
issn="0918-2918",
doi="10.2169/internalmedicine.54.4748",
url="http://dx.doi.org/10.2169/internalmedicine.54.4748"
}