icatibant and Respiratory-Sounds

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.

Topics: Adrenergic beta-Antagonists; Aged; Angioedema; Angiotensin-Converting Enzyme Inhibitors; Blood Pressure; Bradykinin; Bradykinin B2 Receptor Antagonists; Deglutition Disorders; Humans; Male; Mouth; Respiratory Sounds