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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1987-9-14
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pubmed:abstractText |
In view of the favourable results of the short-term therapy of acute myocardial infarction (AMI) with glyceryl-trinitrate (GTN) infusion, we undertook a randomized study to test the hypothesis whether the administration of a single dose of isosorbide 5-mononitrate (IS 5-MN) given orally would have the same favourable haemodynamic effect as observed with GTN infusion. For this purpose we evaluated the haemodynamic effects of IS 5-MN compared to isosorbide dinitrate (ISDN), observed in the same group of patients. 10 patients (8 males, 2 females) aged 50-76 years (mean 63) with AMI (7 anterior, 3 inferior) admitted to the coronary care unit within 48 h from onset of symptoms were entered into this single-blind randomized study; at the time of study entry, 8 patients were in Killip class I, and 2 patients in Killip class II. All drugs with haemodynamic effects were withdrawn 12 h before the study started. Both the haemodynamic profile and the clinical status were stable in all patients. Haemodynamic parameters were recorded with a Swan-Ganz thermodilution catheter, cardiac output was measured by the thermodilution method, and the left ventricular ejection time was calculated according to the Weissler method. The echo left ventricular end-diastolic diameter was measured by evaluation of the M-mode echocardiographic recording.(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0008-6312
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
74 Suppl 1
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
60-4
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:3111690-Acute Disease,
pubmed-meshheading:3111690-Administration, Oral,
pubmed-meshheading:3111690-Aged,
pubmed-meshheading:3111690-Female,
pubmed-meshheading:3111690-Hemodynamics,
pubmed-meshheading:3111690-Humans,
pubmed-meshheading:3111690-Infusions, Intravenous,
pubmed-meshheading:3111690-Isosorbide Dinitrate,
pubmed-meshheading:3111690-Male,
pubmed-meshheading:3111690-Middle Aged,
pubmed-meshheading:3111690-Myocardial Infarction,
pubmed-meshheading:3111690-Nitroglycerin
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pubmed:year |
1987
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pubmed:articleTitle |
Controlled study of the haemodynamic effects of isosorbide 5-mononitrate in acute myocardial infarction.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
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