tailieunhanh - Báo cáo y học: "High dose nitroglycerin treatment in a patient with cardiac arrest: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài:High dose nitroglycerin treatment in a patient with cardiac arrest: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report High dose nitroglycerin treatment in a patient with cardiac arrest a case report Maya Guglin and Gilbert Postler Address Department of Cardiology University of South Florida 2 Tampa General Circle Tampa FL 33606 USA Email MG - mguglin@ GP - gpostler@ Corresponding author Received II January 2009 Accepted 24 March 2009 Published 10 August 2009 Journal ofMedical Case Reports 2009 3 8782 doi 1752-1947-3-8782 This article is available from http jmedicalcasereports article view 8782 2009 Guglin and Postler licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Vasodilators like nitroglycerin or nitroprusside improve hemodynamics in patients with advanced heart failure. However using these agents in critical conditions is limited because of their ability to decrease systemic blood pressure. Case presentation We report the rapid effect of high dose intravenous nitroglycerin treatment in an 86-year-old man after cardiac arrest and prolonged resuscitation together with previous observations and a brief review of the literature. Conclusion High dose intravenous nitroglycerin can be beneficial in cardiac arrest. Introduction Vasodilators like nitroglycerin NTG or nitroprusside improve hemodynamics in patients with advanced heart failure HF . However using these agents in critical conditions is limited because of their ability to decrease systemic blood pressure BP . We report a case of successful use of high-dose intravenous NTG in a patient after cardiac arrest. Case presentation An 86-year-old Caucasian man with a history of coronary artery disease coronary artery bypass surgery in 1999 hyperlipidemia