Literature DB >> 9654660

Is nitroglycerin detrimental in patients with coronary artery ectasia? A case report.

S Sanyal1, N Caccavo.   

Abstract

During the management of acute myocardial infarction, we observed that clinical and electrocardiographic indications of myocardial ischemia worsened upon nitroglycerin infusion and were promptly relieved upon streptokinase infusion. Subsequent coronary angiography revealed diffuse ectasia with no significant stenosis. We discuss the possible pathophysiologic mechanisms by which nitroglycerin might exacerbate ischemia in patients with non-stenotic ectasia, and we present supporting data from other sources. We also attempt to identify the characteristics of patients whose acute myocardial ischemia might be worsened by the administration of nitroglycerin.

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Year:  1998        PMID： 9654660      PMCID： PMC325527     

Source DB:  PubMed          Journal:  Tex Heart Inst J        ISSN： 0730-2347


  15 in total

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Journal:  Am J Cardiol       Date:  1985-09-18       Impact factor: 2.778

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Journal:  Z Kardiol       Date:  1996-06

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Journal:  J Clin Invest       Date:  1995-04       Impact factor: 14.808

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  1 in total

1.  Serum nitric oxide levels in patients with coronary artery ectasia.

Authors:  Adalet Gürlek; Kerim Esenboğa; Özgür Ulaş Özcan; Ömer Faruk Çiçek; Pelin Arıbal Ayral; Güzin Özelçi Kavas; Çetin Erol
Journal:  Anatol J Cardiol       Date:  2016-04-25       Impact factor: 1.596
  1 in total

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