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Does indomethacin attenuate the coronary vasodilatory effect of nitroglycerin? J Am Coll Cardiol 1984 Dec;4(6):1114-7

Date

12/01/1984

Pubmed ID

6438204

DOI

10.1016/s0735-1097(84)80129-1

Abstract

Although previous studies have shown that indomethacin attenuates the dilative effects of nitroglycerin on human peripheral veins and canine coronary arteries, its ability to alter the influence of nitroglycerin on coronary blood flow in human beings is unknown. In 22 patients (16 men and 6 women, aged 47 +/- 10 years [mean +/- standard deviation]) referred for the evaluation of chest pain, heart rate, systemic arterial pressure, coronary sinus blood flow (by thermodilution) and coronary vascular resistance (mean arterial pressure/coronary sinus blood flow) were measured before and during the administration of intracoronary saline solution (n = 6, [control subjects]) or intracoronary nitroglycerin, 100 micrograms (n = 16). Of these 16 patients, 8 had no pretreatment and the other 8 received 50 mg of indomethacin orally, 10 and 2 to 3 hours before study. In the six control subjects, no variable changed with saline injection. In the eight patients given nitroglycerin without indomethacin pretreatment, heart rate and mean systemic arterial pressure were changed modestly (72 +/- 15 to 74 +/- 15 beats/min and 93 +/- 9 to 87 +/- 13 mm Hg, respectively, p less than 0.05), coronary sinus blood flow increased by 56 +/- 43% (107 +/- 72 to 155 +/- 78 ml/min, p less than 0.001) and coronary vascular resistance decreased (1.12 +/- 0.50 to 0.66 +/- 0.26 mm Hg/ml per min, p = 0.004).(ABSTRACT TRUNCATED AT 250 WORDS)

Author List

Winniford MD, Jackson J, Malloy CR, Rehr RB, Campbell WB, Hillis LD

Author

William B. Campbell PhD Professor in the Pharmacology and Toxicology department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Aged
Blood Pressure
Coronary Circulation
Coronary Vessels
Female
Heart Rate
Humans
Indomethacin
Male
Middle Aged
Nitroglycerin
Vascular Resistance
Vasodilation