[High-dose nitroglycerin in cardiogenic shock].
Effective hemodynamics was reestablished in 20 out of 22 patients with acute myocardial infarction or other heart diseases running in the presence of cardiogenic shock by isolated jet intravenous injection of nitroglycerin without vasopressors. 14 of them survived, whereas out of 17 controls treated with vasopressors alone 16 patients died. It is thought valid to start treatment of cardiogenic shock in elevated venous pressure with intravenous jet injection of nitroglycerin.
Guglina
M E
ME
City Clinic Hospital of Emergency Care, Volgograd.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004305:Dose-Response Relationship, Drug; D004359:Drug Therapy, Combination; D005260:Female; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000188:drug therapy / Q000503:physiopathology; D005996:Nitroglycerin / Q000008:administration & dosage* / Q000627:therapeutic use; D012189:Retrospective Studies; D012770:Shock, Cardiogenic / Q000188:drug therapy* / Q000209:etiology / Q000401:mortality; D015996:Survival Rate; D016896:Treatment Outcome; D014662:Vasoconstrictor Agents / Q000008:administration & dosage / Q000627:therapeutic use; D014665:Vasodilator Agents / Q000008:administration & dosage* / Q000627:therapeutic use
D014662:Vasoconstrictor Agents; D014665:Vasodilator Agents; D005996:Nitroglycerin