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硝酸甘油能几无例外地减轻冠状动脉缺血性疼痛,以至有人建议将该药作为有无心肌缺血,甚至急性心肌梗塞的诊断性试验。现在,该药并已用于充血性心力衰竭、限制心肌梗塞的大小及长期预防心绞痛。因此,复习有关这一药物的作用和临床潜力是适时的。本文对硝酸甘油及其同类药物的应用作一论述。硝酸甘油对健康人与心绞痛患者的血液动力学作用硝酸甘油是动脉与静脉血管平滑肌的强力扩张剂。舌下含用后数分钟,出现体循环动脉压降低、反射性心率增快以及肺毛细血
Nitroglycerin can, without exception, reduce coronary ischemic pain, and even suggested that the drug as a diagnosis of myocardial ischemia, and even acute myocardial infarction test. Now, the drug has been used in congestive heart failure, limiting the size of myocardial infarction and long-term prevention of angina. Therefore, it is timely to review the role and clinical potential of this drug. This article discusses the use of nitroglycerin and its like drugs. Hemodynamic Effects of Nitroglycerin on Healthy People and Angina Patients Nitroglycerin is a potent dilator for arterial and venous vascular smooth muscle. Sublingual use after a few minutes, there is a decrease in systemic arterial pressure, reflex heart rate and pulmonary capillary