Failure of intracoronary nitroglycerin to alleviate pacing-induced angina.

Action of intracoronary nitroglycerin in refractory coronary artery spasm.

Coronary artery spasm usually responds to sublingual nitroglycerin. This report describes four patients with variant angina and one patient with rest angina who had coronary spasm that was refractory to sublingual or i.v. nitroglycerin. In four patients, spasm occurred spontaneous and in one patient after 0.05 mg of ergonovine. In each case, 25-100 micrograms of intracoronary nitroglycerin prom...

CASE REPORTS Action of Intracoronary Nitroglycerin in Refractory Coronary Artery Spasm

Coronary artery spasm usuafly reponds to sublingual nitroglycerin. This report describes four patients with variant angina and one patient with rest angina who had coronary spasm that was refractory to sublingual or i.v. nitroglycerin. In four patients, spasm occurred spontaneously and in one patient after 0.05 mg of ergonovine. In each case, 25-100 ,ug of intracoronary nitroglycerin promptly (...

Left heart hemodynamics during angina pectoris induced by atrial pacing.

In order to determine the associated hemodynamic events, angina pectoris was induced by an atrial pacing technic. In all patients developing angina pectoris, ischemic changes were noted electrocardiographically. The hemodynamic findings were variable: in some patients no changes were noted; in others, significant increases in cardiac output, left ventricular end-diastolic pressures (LVEDP), and...

Influence of nitroglycerin on myocardial metabolism and hemodynamics during angina induced by atrial pacing.

Failure of Intracoronary Nitroglycerin

Relief of angina by nitroglycerine has been attributed to two possible mechanisms: (1) Increase in myocardial blood supply by direct acton of the drug on the coronary arteries. (2) Reduction in myocardial oxygen demand by action of the drug on the systemic circulation. Sublingual application of nitroglycerin in previous studies did not allow the ruling out of the operation of either or both mec...