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J Med Case Rep. 2009 Aug 10;3:8782. doi: 10.4076/1752-1947-3-8782.

High dose nitroglycerin treatment in a patient with cardiac arrest: a case report.

Journal of medical case reports

Maya Guglin, Gilbert Postler

Affiliations

  1. Department of Cardiology, University of South Florida 2 Tampa General Circle, Tampa, FL 33606 USA.

PMID: 19830240 PMCID: PMC2737804 DOI: 10.4076/1752-1947-3-8782

Abstract

INTRODUCTION: Vasodilators like nitroglycerin or nitroprusside improve hemodynamics in patients with advanced heart failure. However, using these agents in critical conditions is limited because of their ability to decrease systemic blood pressure.

CASE PRESENTATION: We report the rapid effect of high dose intravenous nitroglycerin treatment in an 86-year-old man after cardiac arrest and prolonged resuscitation, together with previous observations and a brief review of the literature.

CONCLUSION: High dose intravenous nitroglycerin can be beneficial in cardiac arrest.

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