Tranexamic acid use in the setting of ACE inhibitor induced angioedema.

Am J Emerg Med

1500 North Ritter Ave, Community Hospital East Emergency Department, Indianapolis, IN 46219, United States of America.

Published: May 2022


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Article Abstract

Tranexamic acid (TXA) is an antifibrinolytic agent which reduces bradykinin production through its blockade of the conversion of plasminogen to plasmin and subsequently pre-kallikrein to kallikrein. It has been utilized in angiotensin converting enzyme (ACE) inhibitor-induced angioedema (ACEi-AE) in small case reports and series however overall data is limited. This report describes a patient who historically received TXA for ACEi-AE and represented with ACEi-AE after an accidental exposure and was successfully treated with TXA again. This case suggests TXA may be a safe and effective treatment option for ACEi-AE.

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http://dx.doi.org/10.1016/j.ajem.2022.01.041DOI Listing

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