Role of sublingual nitroglycerin in patients with acute myocardial infarction

C. E. Delgado, B. Pitt, D. R. Taylor, M. L. Weisfeldt, D. T. Kelly

Research output: Contribution to journalArticle

Abstract

14 Patients with acute myocardial infarction were given 0.3 mg sublingual nitroglycerin within the first 12 hr of their acute myocardial infarction. 5 Min after sublingual nitroglycerin mean arterial pressure fell 9 mmHg (1.2 kPa) and remained significantly reduced for 30 min. Pulmonary capillary wedge pressure fell from a mean control value of 17 to 12 mmHg (2.3 to 1.6 kPa) and also remained reduced for 30 min. Heart rate was significantly raised and stroke work index reduced at 5 min. Patients with a stroke work index of greater than 55 g m per m2 b.s.a. responded to nitroglycerin with a fall in both pulmonary capillary wedge pressure and stroke work index while in those with a stroke index of less than 55 9 m per m2 b.s.a. stroke work index did not fall concomitantly with the fall in pulmonary capillary wedge pressure. In one patient, nitroglycerin led to a precipitous fall in arterial pressure and recurrence of chest pain.

Original languageEnglish (US)
Pages (from-to)392-396
Number of pages5
JournalUnknown Journal
Volume37
Issue number4
DOIs
StatePublished - 1975

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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