Nitroglycerin and heart disease
Common Questions and Answers about Nitroglycerin and heart disease
nitrostat
Nitrate Medications for heart disease - The combination of vitamin C with nitroglycerin, isosorbide dinitrate, or isosorbide mononitrate reduces the occurrence of nitrate tolerance. Nitrate tolerance is when the body builds up a tolerance to the medicine so that it no longer has its desired effect. People taking nitrate-containing medications generally follow a 12 hours on, 12 hours off schedule to avoid this tolerance.
The cardiologist saw me after the angiogram and told me that there is absolutely nothing wrong with my heart and I should start working out. I tried some walking at pace this morning and started getting pain in chest radiating to arm with shortness of breath. I stopped and after taking some rest it went away.
Even though it seems that there is nothing wrong with the heart, I'm still a bit worried and scared due to my symptoms.
My husband is 76 years old. He had a heart catherization recently and was found to have several blocked arteries. He had 2 stents put in 2011. Are the risks too great for my husband at his age with insulin dependent diabetes for 19 years to have open heart surgery?
His cardiologist so far has put him a medication regimen to try to help with his blocked arteries.
The only sympton he has had with the placing of the stents was Chest Pressure, no other symptoms.
Pain in the upper back can be a symptom of heart disease. The possibility is more because this pain is getting relieved by nitroglycerin. I would suggest you to consult your doctor as soon as possible about it and get yourself evaluated.
Take care!
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 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. Norvasc is in a group of drugs called calcium channel blockers. It dilates blood vessels and slows the heart to reduce blood pressure and the pain of angina. Calcium channel blockers may be needed long term. Medications may also include beta-blockers.
Stopping Nitroglycerin Patch suddenly may cause serious, possibly life-threatening, WITHDRAWAL symptoms, including chest pain and heart attack. Having a nitrate-free period each day will help prevent tolerance, dependence, and withdrawal problems.
Issue Date: November 5, 2008
Database Edition 08.4.1.002
Copyright © 2008 Wolters Kluwer Health, Inc.
It is recommended to have a free period from a nitrate!. I take sublingual nitro occassionally and nitrate pill 3 times a week for many years.
The first paragraph is just the doctors dictation of the diagnoses that he carries (COPD, hypertension, high cholesterol, gout, arthritis, BPH) and chest pain which was resolved with nitroglycerin. The IHD means ischemic heart disease, which means there is some heart disease caused by narrowed heart arteries.
However, the second paragraph you give the 80-90 stenosis of RCA which is non-dominant.
Will I just eventually get use to just taking a nitro pill when I feel chest discomfort and going on with my life? As I also mentioned before, the CAD diagnosis in 7/2008 gave me a panic disorder “when I was 15, I seen my Dad die in front of me from a heart attack when he was 44.”
So anytime I have gotten chest pain in the past 1 ½ years I immediately think I am about to die.
The pain lasts anywhere from a few minutes to several hours. I have been prescribed nitroglycerin to take as needed for chest pain and this medicine surely helps. I've had several EKGs and cardiac enzymes done which were all normal. I also had a threadmill/stress test done which was normal. My cardiologist thinks the the probability of me having an occluded/blocked coronary artery is very low.
Apart from this you should be on maximal medical therapy including beta blockers, ace inhibitors, aspirin and plavix as well as a statin. Is you heart function preserved after the heart attack? It is possible that your shortness of breath is secondary to systolic dysfunction and not only pneumonia. In fact, the so called pneumonia you had could have been congestive heart failure all along and not a bacterial pneumonia at all.
I still had stable angina every time I did some for of cardio activity or is I ate something with sodium. I started using Nitroglycerin patches and even have the pills just in case my angina episode occurs.
I had a date and I read online that you can't take viagra and any nitrates cause it can drop your blood pressure really low. So I stopped using my nitroglycerin for about 48 hours so I can take the Viagra.
This is known as physical DEPENDENCE. If you use Nitroglycerin Patch without a break and then suddenly stop using it, you may get WITHDRAWAL symptoms. No high bp but may include chest pain, heart attack, or possibly sudden death. Be sure to have a "nitrate-free" period of time each day; this may help prevent dependence and withdrawal problems".
Read more: http://www.drugs.com/cdi/nitroglycerin-patch.
My dad, who is 76 years old, suffered a heart attack (Sept. 1992) and underwent triple bypass surgery in Jan. 1993 with mitral valve replacement. He has been doing very well the last 14 years until the summer of 2007 when he started having problems breathing on minimal exertion accompanied by chest pain and not helped with Nitroglycerin. My Dad's cardiologist did a angiogram in Nov. 2007 and found his EF to be 0.25%.
Myocardial infarction pain is characteristically crushing retrosternal chest pain which may move to arms, shoulder, neck, teeth, jaw, belly area or back. This can be squeezing, lasting for 20 minutes. Rest and nitroglycerin may help relieve the pain to some extent. Other symptoms are anxiety, cough, dizziness, palpitations, shortness of breath etc. your doctor would like to check the cardiac enzymes like troponin and CPK, CPK MB.
I have had angioplasty done 5 months ago and now I am on heart related medicines Nitroglycerin, Clopidogrel+Ecosporin and Atorvastatin. I wear artificial denture. Last month I had surgery for cataract in my eye. My evacuation system is working fine, although sometimes I miss a day or two. I do not take any medication for this and the bowl movement becomes regular on its own. I want to know the reason for white coating on my tongue and the crack in it.
I am scheduled for a thallium stress test, and would like to know how the use of viagra or nitro prior to the test would influance the results.
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 am 47, female, with history of heart disease and diabetes Type II. Have had acid reflux for a couple years, controlled fairly effectively with protonix. However, for the past 9 months it's gotten severe, daily, and symptoms are after I eat something, worse in evenings. Have had H-pylori, upper GI, endoscopy--nothing significant. Ultrasound of thyroid too. Nothing works, have tried omeprazole, famotidine, reglan, antacids, ranitidine, and others.
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.
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