Signs of early cardiac tamponade induced by Minoxidil

Am J Emerg Med. 2021 Feb:40:226.e1-226.e2. doi: 10.1016/j.ajem.2020.07.050. Epub 2020 Jul 24.

Abstract

Minoxidil is an antihypertensive that works by directly dilating peripheral vessels. This medication is typically reserved for patients with resistant hypertension, whose blood pressure remains above goal despite being on multiple agents. A rare but potentially dangerous side effect of Minoxidil is drug-induced pericardial effusion. Here we report a case of a patient who was taking Minoxidil and subsequently developed a large pericardial effusion, with concerns for impending cardiac tamponade.

Keywords: Cardiac tamponade; Minoxidil; Pericardial effusion.

Publication types

  • Case Reports
  • Video-Audio Media

MeSH terms

  • Aged
  • Antihypertensive Agents / adverse effects*
  • Cardiac Tamponade / chemically induced*
  • Humans
  • Hypertension / drug therapy
  • Male
  • Minoxidil / adverse effects*
  • Pericardial Effusion / chemically induced*

Substances

  • Antihypertensive Agents
  • Minoxidil