Prevention of myocardial infarction by nitroglycerin plus intravenous beta-blockers.
Seven patients with ongoing angina with ST-segment elevation, refractory to oral nifedipine and intravenous nitroglycerin, were treated by adding intravenous beta-blockers. Chest pain resolved in all of them in a few minutes, and myocardial infarction did not develop in 5 patients. We recommend this approach for patients to whom thrombolytics are contraindicated or have been very recently administered, although further investigation is needed to extend its application more widely. It does not preclude the use of other therapies, if considered necessary.
Coronary Care Unit, Hospital Universitario Virgen Macarena, Sevilla, Spain.
J C
JC
García-Rubira
D
D
Romero
J T
JT
García-Martínez
J
J
Rodríguez-Baños
V
V
López
J M
JM
Cruz
D000319:Adrenergic beta-Antagonists / Q000008:administration & dosage / Q000627:therapeutic use*; D000328:Adult; D000787:Angina Pectoris / Q000175:diagnosis / Q000188:drug therapy*; D000075202:Contraindications; D004359:Drug Therapy, Combination; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis / Q000517:prevention & control*; D005996:Nitroglycerin / Q000008:administration & dosage / Q000627:therapeutic use*; D015912:Thrombolytic Therapy
D000319:Adrenergic beta-Antagonists; D005996:Nitroglycerin