Action of nitroglycerin on the coronary circulation in normal and in mild cardiac subjects.

作者: NORMAN BRACHFELD , JOHN BOZER , RICHARD GORLIN , Morris H. Smith , Elin Aleranderson

DOI: 10.1161/01.CIR.19.5.697

关键词:

摘要: Nitroglycerin has been used extensively as a coronary vasodilator. Its remarkable clinical effect presumed to be related direct action on the smooth muscle of arteriole. No observations have made nitroglycerin circulation in man. This report presents studies changes induced by drug 10 normal or nearly subjects. The authors present evidence that although vasodilatation does indeed occur, it appears secondary myocardial oxygen requirements. Hemodynamic revealed general decrease pressures both peripheral and pulmonary circuits; caution is urged concerning occasional severe hypotensive effects nitroglycerin.

参考文章(19)
Isaac Starr, C. J. Gamble, A. Margolies, J. S. Donal, N. Joseph, E. Eagle, A CLINICAL STUDY OF THE ACTION OF 10 COMMONLY USED DRUGS ON CARDIAC OUTPUT, WORK AND SIZE; ON RESPIRATION, ON METABOLIC RATE AND ON THE ELECTROCARDIOGRAM Journal of Clinical Investigation. ,vol. 16, pp. 799- 823 ,(1937) , 10.1172/JCI100906
René Wégria, John L. Nickerson, Robert B. Case, James F. Holland, Effect of nitroglycerine on the cardiovascular system of normal persons The American Journal of Medicine. ,vol. 10, pp. 414- 418 ,(1951) , 10.1016/0002-9343(51)90286-0
T. Lauder Brunton, ON THE USE OF NITRITE OF AMYL IN ANGINA PECTORIS. The Lancet. ,vol. 90, pp. 97- 98 ,(1867) , 10.1016/S0140-6736(02)51392-1
Richard Gorlin, Studies on the regulation of the coronary circulation in man The American Journal of Medicine. ,vol. 25, pp. 37- 42 ,(1958) , 10.1016/0002-9343(58)90196-7
WALTER T. GOODALE, DONALD B. HACKEL, Measurement of coronary blood flow in dogs and man from rate of myocardial nitrous oxide desaturation. Circulation Research. ,vol. 1, pp. 502- 508 ,(1953) , 10.1161/01.RES.1.6.502
HANS G. BORST, MAURICE MCGREGOR, JAMES L. WHITTENBERGER, ERIK BERGLUND, Influence of Pulmonary Arterial and Left Atrial Pressures on Pulmonary Vascular Resistance Circulation Research. ,vol. 4, pp. 393- 399 ,(1956) , 10.1161/01.RES.4.4.393
Norman H. Boyer, Harold D. Green, The effects of nitrites and xanthines on coronary inflow and blood pressure in anesthetized dogs American Heart Journal. ,vol. 21, pp. 199- 214 ,(1941) , 10.1016/S0002-8703(41)90968-7
R.J. Bing, M.M. Hammond, J.C. Handelsman, S.R. Powers, F.C. Spencer, J.E. Eckenhoff, W.T. Goodale, J.H. Hafkenschiel, S.S. Kety, The measurement of coronary blood flow, oxygen consumption, and efficiency of the left ventricle in man American Heart Journal. ,vol. 38, pp. 1- 24 ,(1949) , 10.1016/0002-8703(49)90788-7