Nitroglycerin chest pain
Common Questions and Answers about Nitroglycerin chest pain
nitrostat
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.
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 following day I had the nuclear and echo gram test. The 3rd day I had chest discomfort again and was given nitroglycerin and immediately the discomfort was gone (first time I ever had a nitro tablet). This happened twice in my 4 day stay in the hospital.
First told I had a cardiomyopathy because my stress test showed diffuse hypokinesis, stress fraction of 37% and resting fraction of 42%.
I was diagnose with clogged arteries over a year ago. I even had a stent put in because one of my arteries was ecluded. 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.
I was in the ER yesterday with chest pain and shortness of breath. I do have benign PVCs. However I am unsure if my EKG was fully normal or not although I am pretty sure it was but what has me questioning it is the fact that I was given 4 aspirin and 2 nitroglycerin pills.
My vent rate 126bpm
PR interval 152 ms
QRS duration 76 ms
QT/QTc 306/443 ms
P-R-T axes 71 66 47
Are those all normal?
I do have high blood pressure lately along with an almost constant high heart rate.
Is it typical to have intermittent chest pain for the last two weeks since having my proximal LAD stented (coated stent)? I have resorted to nitroglycerin several times with mixed results. Today, I had some lightheadedness and shortness of breath with the chest pain, but a couple of hours later, and 3-4 sprays of nitro it is resolved.
She healed well, but 2 weeks ago while at home she experienced chest pain. She went by ambulance to the hospital. An angiogram was performed and her left circumflex bypass failed. The docotors put a stent in her actual left circumflex coronary artery. She stayed in the hospital for a few days and was released. Now, she is back in the hospital due to chest pain again. The doctors say there is nothing they can do for her and that everything looks good and she will have to live with the pain.
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....It is important to have a "nitrate-free" period of time each day for Nitroglycerin Patch to continue to work well and to decrease the risk of physical dependence.
The first week I had bronchitis. After that cleared, I began having chest pain and shortness of breath.
Everyone dismissed my symptoms because I was a young female. I had a hysterectomy in 2009 but they said I still had estrigen to help prevent heart problems.
After three weeks of testing (lung vq scan, GERD, and anxiety), a heart cath was done. Cardiologist said I had myocardial bridge (left artery), hypertension, and thick wall.
There is different chest pain that is associated with MVP than with angina (chest pain...occluded coronary vessels) and following may help you distinquish.
For some insight, Mitral valve prolapse: It is a common heart valve abnormality, affecting 5% to 10% of the population. MVP is especially common among women between 20 to 40 years of age. Chest pain with MVP is usually sharp but not severe.
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.
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.
If you feel chest pain put a nitro pill under your tongue, if the pain doesn’t go away in 5 mins take another, if it still doesn’t go away then call 911. The make it sound as simple as; brush and floss every day. Don’t need any advice on the lifestyle modifications, I already practice all of that and I had further progression anyway. At this point I am considering a non-meat lifestyle.
It sounds like you have had the same issues I had. I went through three trips to the er in 3 mos. 3 or 5 trips to walk in doctors. EKG's were always perfect, blood work fine, bp and pulse fine. Finally had an angiogram where they found my LAD was bridged. They put a stent in and I was fine for a while. Now I am having symptoms again(they don't seem to be the same as before). I am wondering if it isn't something GI from the meds and probably even more likely just anxiety this time.
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.
I am a heart patient with long time experience of angina, chest pain. When it is angina the chest pain gets worse when you are standing up and moving around. Gets less when you are resting. I take nitroglycerin under tongue for chest pain. If it doesn't go away in 15 minutes then I call my dr or an ambulance and go to emergency room. If your left chest hurts when you go to sleep it is not a typical angina pain. BUT you should check out any chest pain with a doctor.
hI. I'm 30 years old. female. Had several episodes of Chest pains for the past 2 years. all began when I clim a hill and was breathless when arriving on top. My ECG was on SR C. I'm havin palpitations. I am on Betaloc 50 mg for the last 2 years. My symptoms are Chest pains which radiates to the left arm, feel dizziness and is always tired after small exertion.I am always on Low BP. My echo measureents are ; LVEDD 43 mm, LVESD 28 mm, LVEF 68%, IVS= 8m, PWT = 7mm, AOV 20 mm, LA = 26 mm.
for the last month almost constantly i get this minor but very anoying chest pain. centered. it seems to bother me mostly when im at rest. it seems to be getting more and more bothersome by the day. i had stress test done. it was negative. as well as ekgs. 2. all negative. my docter now wants me to have that die put in me. to see if there are any blokages. i was put on nexium over a year ago for very severe heartburn. currently still on it.
There is no typical cardiogenic chest pain, which is crushing precordial pain radiating to the jaw, arm and neck, relieved with sublingual nitrates. other possibilities for the muscle spasms can be chest injuries, previous chest surgery, possible culprit, any history of athletics, stress fractures , pulled chest muscles. Fibromyalgia is an important condition of chronic fatigue which causes severe muscle pain, with muscle spasms in chest.
Recommended
