<div class="FTQUOTE"><begin quote><i>Originally posted by: <b>Nightwriter</b></i>
Jonathan,
I only know what my doctor tells me. She had a patient that had a really bad asthma attack. The woman decided to treat herself by taking 2 puffs of albuteral every five minutes and died. If you look up albuterol and heart attack, it's association is in the literature.</end quote></div>
Well, there's a lot of missing information here. How old was this patient? Did she have any pre-existing conditions (i.e. cardiac disease). Remember also albuterol HFA is not a cure all. Her bronchospasm very well may have required much more aggressive treatment than a simple albuterol HFA or neb even. (solu-medrol and perhaps even bipap). It could be possible that an older person who had cardiac disease could end up overworking their heart enough with albuterol to cause unstable angina and perhaps death, but I've never seen it. I gave a patient having a severe bronchospasm 7.5MG of albuterol (he was in his 60's) via Neb without any problems. I'm not advocating that you all go out and suck down an entire HFA, but with normal use or slightly higher than normal doses in the event of an exacerbation you aren't going to kill yourself. Just make sure that if you are using more than normal you seek additional medical care or advice from your doc or the ED, since there is obviously something amiss.