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

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 react...

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Published inBritish Heart Journal Vol. 51; no. 5; pp. 575 - 577
Main Authors von Arnim, T, Autenrieth, G, Bolte, H D
Format Journal Article
LanguageEnglish
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
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Abstract 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.
AbstractList 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.
Author Autenrieth, G
Bolte, H D
von Arnim, T
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Keywords Human
Nitroglycerine
Infarct
Toxicity
Coronary vasodilator agent
ST interval
Cardiovascular disease
Coronary heart disease
Bradycardia
Etiology
Arterial hypotension
Organic nitrate
Electrocardiography
Myocardium
Ambulatory
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SubjectTerms 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
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