[Sublingual isosorbide-5 mononitrate during coronary arteriography. Comparison with sublingual nitroglycerin].

Autor: Moreira AE; Instituto do Coração do Hospital das Clínicas, FMUSP., Arie S, Costa EL, Campos LF, Soares PR, Garcia DP
Jazyk: portugalština
Zdroj: Arquivos brasileiros de cardiologia [Arq Bras Cardiol] 1997 Oct; Vol. 69 (4), pp. 247-50.
DOI: 10.1590/s0066-782x1997001000005
Abstrakt: Purpose: To evaluate the effect of sublingual isosorbide-5 mononitrate (ISMN) and nitroglycerin (NTG) on luminal diameter of epicardial coronary arteries, mean arterial pressure and deleterious effects.
Methods: Fifty patients were submitted to cardiac catheterization and coronary arteriography, at baseline, and 5 min after sublingual administration of ISMN, group A (GA) or NTG, group B (GB).
Results: Reference vessel diameter increased in both groups, without statistical significance. In GA and GB, a decrease (1.66 mmHg) and an increase (0.79 mmHg) in mean arterial pressure, respectively, were demonstrated (p = 0.123). There were no deleterious effects with the use of these drugs.
Conclusion: Sublingual ISMN is an alternative to administration of NTG during coronary arteriography, and represents a therapeutic alternative to ischemic heart disease treatment.
Databáze: MEDLINE