@article{ref1,
title="Persistent wheezing caused by carvedilol overdose in a non-asthmatic man",
journal="Acute medicine and surgery",
year="2020",
author="Nakanishi, Misuzu and Kuriyama, Akira and Onodera, Mutsuo",
volume="7",
number="1",
pages="e475-e475",
abstract="BACKGROUND: Cardiovascular dysfunction is the main manifestation of β-blocker intoxication; however, respiratory manifestations have rarely been reported. CASE PRESENTATION: A 41-year-old man, who had ingested 300 mg carvedilol in a suicide attempt, was transferred to our emergency department. The patient had wheezing on arrival; however, he had no known history of bronchial asthma. In the absence of signs of heart failure, we gave the patient inhaled procaterol, a short-acting β2 agonist. The wheezing disappeared approximately 60 h after carvedilol ingestion and did not recur thereafter. <br><br>CONCLUSION: We report a case of wheezing caused by carvedilol intoxication. Although rare, clinicians should recognize that wheezing or bronchospasm can develop following β-blocker intoxication, for which a short-acting β2 agonist could be indicated.<br><br>© 2019 The Authors. Acute Medicine & Surgery published by John Wiley & Sons Australia, Ltd on behalf of Japanese Association for Acute Medicine.<p /> <p>Language: en</p>",
language="en",
issn="2052-8817",
doi="10.1002/ams2.475",
url="http://dx.doi.org/10.1002/ams2.475"
}