TY  - JOUR
PY  - 2015//
TI  - Myocardial injury without electrocardiographic changes after a suicide attempt by an overdose of glimepiride and zolpidem: a case report and literature review
JO  - Internal medicine
A1  - Chou, Shengpu
A1  - Ayabe, Seiji
A1  - Sekine, Nobuo
SP  - 2727
EP  - 2733
VL  - 54
IS  - 21
N2  - 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>
LA  - en
SN  - 0918-2918
UR  - http://dx.doi.org/10.2169/internalmedicine.54.4748
ID  - ref1
ER  -