Acute myocardial infarction during continuous electrocardiographic ST segment recording. Possible role of bradycardia and hypotension induced by glyceryl trinitrate

• Published in: British Heart Journal Vol. 51; no. 5; pp. 575 - 577
• Main Authors: von Arnim, T, Autenrieth, G, Bolte, H D
• Format: Journal Article
• Language: English
• Published: London BMJ Publishing Group Ltd and British Cardiovascular Society 01.05.1984; BMJ; BMJ Publishing Group LTD
• Subjects: Angina Pectoris - physiopathology; Biological and medical sciences; Bradycardia - chemically induced; Drug toxicity and drugs side effects treatment; Electrocardiography; Heart - physiopathology; Humans; Hypotension - chemically induced; Male; Medical sciences; Middle Aged; Monitoring, Physiologic; Myocardial Infarction - etiology; Nitroglycerin - adverse effects; Pharmacology. Drug treatments; Toxicity: cardiovascular system; Human; Nitroglycerine; Infarct; Toxicity; Coronary vasodilator agent; ST interval; Cardiovascular disease; Coronary heart disease; Bradycardia; Etiology; Arterial hypotension; Organic nitrate; Electrocardiography; Myocardium; Ambulatory
• ISSN: 0007-0769; 1468-201X; 2053-5864
• DOI: 10.1136/hrt.51.5.575

A 62 year old man developed an inferior wall myocardial infarction during ambulatory ST segment monitoring. Before the onset of persistent ST segment elevation he had taken several glyceryl trinitrate tablets, which was followed by bradycardia and symptoms of hypotension. Whether a paradoxical reaction to glyceryl trinitrate may have triggered the development of myocardial infarction in this case is uncertain.