Southern Medical Journal - Early detection of digitalis-induced nonocclusive mesenteric ischemia using Doppler ultrasonography.(Letter to the editor)
To the Editor: Acute mesenteric ischemia occurs in 1 of 1000 hospital admissions, and a nonocclusive mechanism makes up about 20% of these cases. (1) Nonocclusive mesenteric ischemia (NOMI) is a condition where the macrovasculature is patent, but the microvascular blood flow is inadequate to meet intestinal tissue demands leading to gangrene and disastrous consequences.
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The pathophysiology of NOMI involves low blood flow states such as shock, heart failure, hemodialysis and direct splanchnic arteriolar vasoconstriction by drugs, eg, digoxin. (2,3) Angiography is the gold standard …
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