Case Report

Icatibant for Angiotensin-Converting Enzyme Inhibitor-Induced Angioedema in Intubated Patients: Case Series and Literature Review

Table 1

Summary of patient cases.

Patients, Case Case Case

Characteristics
 GenderFemaleMaleMale
 Age, years605262
 EthnicityAfrican AmericanAfrican AmericanCaucasian
 Duration of ACEI therapy, months813648
 SymptomsDifficulty breathing and swallowing, shortness of breath, coughingChest pain, difficulty swallowing and talking, shortness of breath, sensations of “throat closing,” swelling of tongue, mouth, and eyesMacroglossia, muffled voice, shortness of breath
Clinical course
 Symptom onset to ED presentation1 week4 hours5 hours
 ED presentation to intubation, mins20“Minutes later”Immediately
 ED presentation to icatibant, hrs121111
 Icatibant administrationAfter intubationAfter intubationAfter intubation
 Icatibant to first symptom resolution, hrs202211
 Hospital day of extubationDay 4Day 5Day 3
 ED presentation to dischargeDay 7Day 6Day 5