title: Effectiveness of intravenous administration of nicorandil in a patient with variant angina refractory to continuous intravenous nitroglycerin.
abstract: Variant angina usually responds to conventional treatment with nitrates and calcium antagonists. However, severe variant angina refractory to intensive anti-anginal treatment can be catastrophic because prolonged occlusion of a major coronary artery can result in myocardial infarction, severe cardiac arrhythmia, and sudden death. We report a patient with active variant angina which was refractory to conventional treatment including sublingual nitroglycerin and intravenous nitroglycerin administration. Only intravenous administration of nicorandil was consistently effective in eliminating chest pain of the patient.
authors.forename: Kyung-Hun
authors.initials: KH
authors.lastname: Lee
authors.forename: Seong Hwan
authors.initials: SH
authors.lastname: Kim
authors.forename: Hong Euy
authors.initials: HE
authors.lastname: Lim
authors.forename: Eung Ju
authors.initials: EJ
authors.lastname: Kim
authors.forename: Min-Kyu
authors.initials: MK
authors.lastname: Kim
authors.forename: Woo-Jung
authors.initials: WJ
authors.lastname: Park
authors.forename: Goo-Yeong
authors.initials: GY
authors.lastname: Cho
mesh_terms: D000368:Aged; D000788:Angina Pectoris, Variant / Q000188:drug therapy*; D000889:Anti-Arrhythmia Agents / Q000008:administration & dosage*; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D020108:Nicorandil / Q000008:administration & dosage*; D005996:Nitroglycerin / Q000008:administration & dosage; D016896:Treatment Outcome
chemical_list: D000889:Anti-Arrhythmia Agents; D020108:Nicorandil; D005996:Nitroglycerin