Nitroglycerin in heart failure
Common Questions and Answers about Nitroglycerin in heart failure
nitrostat
It's a medication used for Heart Failure Patients......Comes in pill form or spray......My husband uses it & I'm very careful to watch that it is never around the dogs! Just in Case!!!!
The doctor said the left heart was okay but found a narrowing in the right heart which caused coronary spasms during the test. IV nitroglycerin during the test stopped the spasms and dilated the vessel. He did not mention any other problems and recommended sublingual nitroglycerin to treat the spasms as they occur.
I'm sure you are very worried.
Let me try to help.............a bit.
First of all - I have experienced Pulmonary Edema on 2 serious occasions in '08. Both - life threatening..........the second - so life threatening that I experienced Respiratory Failure at my local hospital and had to be airlifted to the central hospital here in Maine. I was put in a coma and was not expected to live. I am a 58 y.o. male with an Ejection Fraction of 10-15% since '03.
I assume the diagnosis of hyperreactive responses not only to the constrictor effects of acetylcholine, but also the dilator effects of nitroglycerin were detected diffusely in the epicardial coronary arteries of patients with coronary spastic angina.
The goal of treatment is to control chest pain and to prevent heart attack. The pain is relieved by a medicine called nitroglycerin (dilates coronary vessels). You have been prescribed norvasc and that should relieve any chest pains.
If you miss a dose of Nitroglycerin Patch, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule. Do not use 2 doses at once. When used for long periods of time without a break, some people develop a physical need to continue taking Nitroglycerin Patch. This is known as physical DEPENDENCE. Do not suddenly stop taking Nitroglycerin Patch without your doctor's approval.
I have occasion severe pain in the upper back behind heart region. Have had stent in major heart artery. Nitroglycerine immediately stops pain...not similar to pain before stent inserted. Former pain was in chest, jaw, and arm. Is this heart related or spine ? Usually occurs at night, wakes me up. Very infrequent.
The same with his recent heart catherization was chest pressure. In the ER he was given 2 nitroglycerin, 5 minutes apart, the chest pressure went away after the 2nd nitroglycerin.
Does any good specialist in cardiology think that my husband should have the open heart surgery for bypasses considering the risks regarding his age, his diabetes?
I would appreciate very explanatory answers, easy to understand, what to do in my husband's situation.
Thankyou.
Well, Viagra is not safe at all in the presence of nitroglycerin tablets and in fact, we know that if anyone takes Viagra with nitroglycerin tablets, that the blood pressure can be lowered precipitously and can be lowered to such levels as can be extraordinarily dangerous to you. [ABC News report from May 2008 - Internet]
As we know, not everyone experiences negative side effects from every medication.
ed is correct nitro dilates vessels.
I take a nitrate (isosorbide) for more than 6 years 3 times before going to gym for workout. My blood pressure does not drop between intervals...in fact I was told to have intervals of nitrate free period. It is true, nitro dilates the coronary vessels and prevents angina (chest pain). The patch should only be worn for up to 12 to 14 hours a day, or as directed by your doctor, but continued use with no interruptions can cause a tolerance for drug....
In one way he was fortunate because his heart attacks were considered mild, only little bits of damage to the heart each time. But in the end he still ended up with congestive heart failure. Not an easy way to live. Plus he never changed his lifestyle, still ate terrible food and smoked and rebelled against taking the medications the doctors prescribed.
So although I know some things about heart attacks, I couldn't accurately or completely answer all your questions.
During a recent hospital stay where I was being treated for the Congestive Heart Failure and hypertension, I was put on fairly high doses of nitroglycerin and hydralazine and lasix. At some point during the stay I started having these unbelievably strong heart palpatations. My heart rate began to exceed 90 beats per minute and would drum like a mighty army in my head.
I was under enormous stress when the pains started and the fear that it was cardiac in origin added to it. I had the nitroglycerin sublingual tablets. I took them, sometimes they helped, other times they didn't. To this day I have no definitive answer as to the cause of my pains, but they seem to have subsided for the past 6-7 months. Try the nitro and see if it helps. My guess is that it won't help indigestion, but would if it was due to vasospasm or other cardiac cause.
It does sounds like you were experiencing angina, which is chest pain that occurs when the heart muscle demands more oxygen than what is being supplied. Common caused of angina are narrowed coronary arteries and hypoxia (very low blood oxygen caused by respiratory disorders and/anemia). You should talk to your doctor as you may be a good candidate for a low dose nitroglycerin patch which opens the coronary vessels to increase oxygen supply to the heart.
I have the same thing but 6%. I was prescribed the same things. This all just happened within the last week for me. The Cardiologist said that mine is like a 6% chance of having a heart attack right now. So, I'm assuming yours is 15%. I'm hesitant on taking the Amlodipine because it lowers blood pressure and mine is already low. As far as drinking, I wouldn't advise it especially with the Isosorbide, that is basically Nitroglycerin in a daily form.
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