Post-Biperiden Myocardial Depression and Acute Pulmonary Oedema: A Case Report


Zortuk O., KILIÇ D.

Journal of the College of Physicians and Surgeons Pakistan, cilt.35, sa.1, ss.286-288, 2025 (SCI-Expanded, Scopus) identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 35 Sayı: 1
  • Basım Tarihi: 2025
  • Doi Numarası: 10.29271/jcpspcr.2025.286
  • Dergi Adı: Journal of the College of Physicians and Surgeons Pakistan
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.286-288
  • Anahtar Kelimeler: Acute pulmonary oedema, Biperiden, Cardiac depression
  • Yozgat Bozok Üniversitesi Adresli: Evet

Özet

Biperiden, a muscarinic receptor antagonist, is utilised in antipsychotic therapies and has been associated with a restricted incidence of cardiac side effects. This case study details a 30-year male patient who had acute pulmonary oedema and cardiac depression after a biperiden overdose. The patient arrived at the emergency department exhibiting dyspnoea, agitation, and a low oxygen saturation level of 65%. The physical examination and imaging indicated pulmonary oedema and diminished heart motion. The intervention included non-invasive ventilation, nitroglycerin infusion, and diuretics. Throughout the clinical follow-up, the patient's respiratory and cardiac symptoms exhibited improvement, with no alterations noted in troponin levels. It can be inferred that the infrequent cardiac side effects of biperiden, particularly in cases of overdose, can lead to severe consequences such as acute pulmonary oedema. Consequently, it is imperative to effectively manage this illness to avert fatality.