{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T21:42:34Z","timestamp":1781818954702,"version":"3.54.5"},"reference-count":33,"publisher":"The Korean Society of Emergency Medicine","issue":"1","license":[{"start":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T00:00:00Z","timestamp":1690848000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["ceemjournal.org"],"crossmark-restriction":true},"short-container-title":["Clin Exp Emerg Med"],"abstract":"<jats:p>Approximately 0.7% of patients taking angiotensin-converting enzyme inhibitors (ACEIs) develop ACEI-induced angioedema (ACEI-IA). With no approved treatments for ACEI-IA, the risk of complications is concerning. Tranexamic acid (TXA) has the potential to prevent intubations and resolve ACEI-IA by inhibiting the downstream production of bradykinin. In this review, we aim to evaluate the safety and efficacy of TXA use in ACEI-IA. We queried the PubMed database for studies involving TXA for ACEI-IA from January 2003 to January 2023. Seven studies met the study inclusion criteria. Our results demonstrate that TXA may improve angioedema symptoms and prevent intubation. In addition, its availability, low cost, and safety profile support its use for improving the symptoms and complications of ACEI-IA in an emergency setting.<\/jats:p>","DOI":"10.15441\/ceem.23.051","type":"journal-article","created":{"date-parts":[[2023,8,1]],"date-time":"2023-08-01T07:07:50Z","timestamp":1690873670000},"page":"94-99","update-policy":"https:\/\/doi.org\/10.15441\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Tranexamic acid for angiotensin-converting enzyme inhibitor\u2013induced angioedema"],"prefix":"10.15441","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8383-4451","authenticated-orcid":true,"given":"Gaurav Nitin","family":"Pathak","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6282-801X","authenticated-orcid":true,"given":"Thu Minh","family":"Truong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8009-1920","authenticated-orcid":true,"given":"Abhishek","family":"Chakraborty","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9638-1279","authenticated-orcid":true,"given":"Babar","family":"Rao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine","family":"Monteleone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6106","published-online":{"date-parts":[[2023,8,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2013.03.045"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/j.otohns.2008.03.029"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1016\/j.intimp.2019.106081"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s11906-018-0859-x"},{"key":"ref5","first-page":"821","volume-title":"Icatibant in angiotensin-converting enzyme (ACE) inhibitor-associated angioedema","author":"Fok","year":"2015"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0224858"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.intimp.2019.106081"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.2500\/ar.2016.7.0166"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2019.12.058"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1378\/chest.126.2.400"},{"key":"ref11","first-page":"772","volume-title":"Tranexamic acid as first-line emergency treatment for episodes of bradykinin-mediated angioedema induced by ACE inhibitors","author":"Beauchene","year":"2018"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.18116"},{"key":"ref13","first-page":"725","volume-title":"The use of intravenous tranexamic acid for patients with angiotensin-converting enzyme inhibitor-induced angioedema: a case series","author":"Martinez Manzano","year":"2021"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.2009.02234.x"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2020.10.029"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2020-237888"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajem.2022.01.041"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1111\/trf.16976"},{"key":"ref19","doi-asserted-by":"publisher","DOI":"10.1056\/nejmoa1312524"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2014.07.014"},{"key":"ref21","first-page":"E198","volume-title":"Effect of C1-Esterase-inhibitor in angiotensin-converting enzyme inhibitor-induced angioedema","author":"Greve","year":"2015"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.1007\/s12024-015-9701-9"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1177\/106002809202601012"},{"key":"ref24","doi-asserted-by":"publisher","DOI":"10.1111\/cei.12379"},{"key":"ref25","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2020.08.046"},{"key":"ref26","volume-title":"","year":"2020"},{"key":"ref27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2017.03.003"},{"key":"ref28","volume-title":"","year":"2011"},{"key":"ref29","volume-title":"RED BOOK Online. 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