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.
When they injected the dye into the artery they could not see anything. However, when nitroglycerin was administered everything showed up...no blockage. I also have chest pains and shortness of breath and fatigue along with the coldness spreading to my legs along with leg heaviness, cramps and weakness when walking. I have been referred to a cardiologist. What is the treatment for severe vasospasms? Could this mean I am having vasospasms everywhere including coronary vasospasms?
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.
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 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.
Possibilities include increasing antihypertensive agents, +/- beta blocker; pulmonary vasodilator therapy which might worsen gas exchange, create an addtional cardiac load, and are unproven in this setting." At our meeting I asked if he "couldn't just ream out the pulmonary arteries.
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....
I only take isosorbide prior to a workout, and nitro when engaged in an activity that brings on angina. I understand your doctors are suggesting taking isosorbide daily as aschemia does not always produce angina even though the heart cells are not getting sufficient blood supply. This can lead to a silent heart attack so the medication is recommended continuously whether there is angina or not and older people in general are likely to have a silent heart attack.
Well, it is am opiate which is a systemic vasodilator, opening up blood vessels and increasing oxygenation. A high dose can cause respiratory depression, which can reduce oxygen to the heart and increase the chances for fibrillation (hypoxia being the cause). Thus the answer is probably not in any dose normally prescribed by a physician. In the case of abuse and an overdose, possible.
I have had chest pressure and shortness if breath so was scheduled for a stress test with vasodilator,. It showed a medium to large moderate
intensity partially reversible defect involving all apical segments and
extending into true apex and the mid anteroseptum. This is larger than on
the prior study done in 2017. The defect is only partially reversible
with SDS score of 4.
Wall motion post stress is severely hypokinetic in the apex, with gated EF of 51%.
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've never heard of nitroglycerin being used to treat migraine, but glad that it worked.
But if it keeps on, and sorry to tell you this, but you probably should see a doctor ASAP. It could be the sign of a coming stroke, since it is sudden and very painful. I started with a sudden very different migraine than any I had ever had before. It turned out that within 3 weeks, longer than usual as a gap in time, I had a full carotid artery dissection stroke.
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 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.
L-Arg\inine is used therapeutically up to 15 grams a day. It is a systemic vasodilator and opens up microcirculation, which increases body capacitance and reduces blood pressure. Excellent for diabetic neuropathy as well. Many people take it four or five times per day in small doses. Purchase the L-Arginine in quantity (at health food stores), rather than in capsules and you will save a lot of money.
No reversible ischemic indicates no prolonged increase in resting vascular resistance and a prolonged impairment in vasodilator responsiveness, both of which persist for at least 4 hours...no abnormality finding as a result of your test.
Viagra(Sildenafil) is a vasodilator (that is, a drug that dilates blood vessels), and consequently it lowers the systolic blood pressure (the "top" number in blood pressure measurements) by an average of 8 mmHg. In the majority of patients with heart disease, including most of those being treated with antihypertensive drugs, this is not a problem.
Mine was borderline high when I was in my late teens, and eventually I was put on a vasodilator (don’t recall the name) and later on a ACE inhibitor (lisinopril). Still on that one with little or no side effects after about 25 years of taking it.
I would err on the side of caution and ask about getting an Rx, the risks of high blood pressure are well documented and relatively easily avoided.
Timed-release niacin is commonly prescribed to prevent arterioschlerosis. It acts as a mild vasodilator, relaxing the blood vessels and improving the microcirculation. The "fast-acting" niacin causing flushing of the face and sometimes itching. There should be no problems whatsoever with discontinuing niacin "cold-turkey" , nor should there be any withdrawal symptoms.
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