I have read the article on the vascular emergency that is acute mesenteric ischemia with interest. Regarding the pathophysiology especially of nonocclusive mesenteric ischemia (NOMI), the authors focus on two scenarios: firstly, chronic hemodialysis, and secondly, clinical status after heart surgery. It is important to mention in this context that especially in older patients, overdosage of digitalis medication can be the cause of nonocclusive mesenteric ischemia, which is rare but none the less worth considering in the differential diagnostic considerations (1).
Footnotes
Conflict of interest statement
The author declares that no conflict of interest exists.
References
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- 2.Klar E, Rahmanian PB, Bücker A, Hauenstein K, Jauch KW, Luther B. Acute mesenteric ischemia: a vascular emergency. Dtsch Arztebl Int. 2012;109(14):249–256. doi: 10.3238/arztebl.2012.0249. [DOI] [PMC free article] [PubMed] [Google Scholar]