Page last updated: 2024-11-01

nitroglycerin and Dyspnea

nitroglycerin has been researched along with Dyspnea in 30 studies

Nitroglycerin: A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives.
nitroglycerol : A nitrate ester that is glycerol in which nitro group(s) replace the hydrogen(s) attached to one or more of the hydroxy groups.
nitroglycerin : A nitroglycerol that is glycerol in which the hydrogen atoms of all three hydroxy groups are replaced by nitro groups. It acts as a prodrug, releasing nitric oxide to open blood vessels and so alleviate heart pain.

Dyspnea: Difficult or labored breathing.

Research Excerpts

ExcerptRelevanceReference
"Vasodilators, such as nitroglycerin, have long been first-line treatments for acute heart failure syndromes (AHFS)."9.24Intravenous nicorandil for treatment of the urgent phase acute heart failure syndromes: A randomized, controlled trial. ( Fujinaga, H; Fujisawa, K; Harada, K; Harada, T; Iima, T; Kageyama, N; Kawata, A; Okada, A; Okumura, T; Saito, A; Shigekiyo, M; Terada, N; Yamamoto, H; Yamamoto, T, 2017)
"Cardiac output (CO) change with sublingual nitroglycerin (NTG) could be helpful in the diagnosis of HF in patients with acute undifferentiated dyspnea."8.02Value of nitroglycerin test in the diagnosis of heart failure in emergency department patients with undifferentiated dyspnea. ( Asma, Z; Bel Haj Ali, K; Beltaief, K; Ben Brahim, N; Ben Soltane, H; Boubaker, H; Bouida, W; Bzeouich, N; Gannoun, I; Grissa, MH; Jeddi, C; Laouiti, K; Lotfi, B; Mariem, K; Msolli, MA; Nouira, S; Riadh, B; Rym, Y; Sekma, A; Trabelssi, I; Zied, M; Zohra, D, 2021)
"In 12 patients with coronary heart disease and increased left ventricular filling pressure the pressure lowering effect of an oral long-acting nitroglycerin preparation (Sustac-Retard forte) was investigated at rest (n = 6) and during exercise (n = 6)."7.65[Action of sustained release nitroglycerin on a pulmonary artery pressure in coronary heart disease (author's transl)]. ( Hochrein, H; Volkmer, F, 1977)
"In 15 patients with left ventricular failure, ten with recent myocardial infarction and five with old infarct a highly significant fall in pulmonary-artery pressure occurred within 3-5 minutes of sublingual administration of nitroglycerine, 0."7.65[Effect of nitroglycerine in acute myocardial infarction: I: Sublingual nitroglycerine in the treatment of left-heart failure and pulmonary oedema (author's transl)]. ( Bussmann, WD; Kaltenbach, M; Vachalowa, J, 1975)
"Decompensated congestive heart failure (CHF) is the leading hospital discharge diagnosis in patients older than 65 years."6.70Intravenous nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure: a randomized controlled trial. ( , 2002)
" Although there are Free Open Access Medical Education (FOAM) based podcasts as well as few studies to suggest the use of HDN, the evidence is limited by statistical flaws, incomplete dosing parameters and inconsistent methods of administration."5.48Recognition of Sympathetic Crashing Acute Pulmonary Edema (SCAPE) and use of high-dose nitroglycerin infusion. ( Clarkson, L; Paone, S; Punnapuzha, S; Sin, B, 2018)
"Vasodilators, such as nitroglycerin, have long been first-line treatments for acute heart failure syndromes (AHFS)."5.24Intravenous nicorandil for treatment of the urgent phase acute heart failure syndromes: A randomized, controlled trial. ( Fujinaga, H; Fujisawa, K; Harada, K; Harada, T; Iima, T; Kageyama, N; Kawata, A; Okada, A; Okumura, T; Saito, A; Shigekiyo, M; Terada, N; Yamamoto, H; Yamamoto, T, 2017)
"Cardiac output (CO) change with sublingual nitroglycerin (NTG) could be helpful in the diagnosis of HF in patients with acute undifferentiated dyspnea."4.02Value of nitroglycerin test in the diagnosis of heart failure in emergency department patients with undifferentiated dyspnea. ( Asma, Z; Bel Haj Ali, K; Beltaief, K; Ben Brahim, N; Ben Soltane, H; Boubaker, H; Bouida, W; Bzeouich, N; Gannoun, I; Grissa, MH; Jeddi, C; Laouiti, K; Lotfi, B; Mariem, K; Msolli, MA; Nouira, S; Riadh, B; Rym, Y; Sekma, A; Trabelssi, I; Zied, M; Zohra, D, 2021)
" Compared to group 2, group 1 patients more frequently had exercise-induced dyspnea, and had a greater maximum ST-segment depression and a lower coronary blood flow response to adenosine and cold pressor test, but group 2 patients had a more frequent history of rest angina."3.88Microvascular Angina - Long-Term Exercise Stress Test Follow-up. ( Crea, F; De Vita, A; Filice, M; Lamendola, P; Lanza, GA; Manfredonia, L; Villano, A, 2018)
"In 12 patients with coronary heart disease and increased left ventricular filling pressure the pressure lowering effect of an oral long-acting nitroglycerin preparation (Sustac-Retard forte) was investigated at rest (n = 6) and during exercise (n = 6)."3.65[Action of sustained release nitroglycerin on a pulmonary artery pressure in coronary heart disease (author's transl)]. ( Hochrein, H; Volkmer, F, 1977)
"In 15 patients with left ventricular failure, ten with recent myocardial infarction and five with old infarct a highly significant fall in pulmonary-artery pressure occurred within 3-5 minutes of sublingual administration of nitroglycerine, 0."3.65[Effect of nitroglycerine in acute myocardial infarction: I: Sublingual nitroglycerine in the treatment of left-heart failure and pulmonary oedema (author's transl)]. ( Bussmann, WD; Kaltenbach, M; Vachalowa, J, 1975)
"Decompensated congestive heart failure (CHF) is the leading hospital discharge diagnosis in patients older than 65 years."2.70Intravenous nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure: a randomized controlled trial. ( , 2002)
" New insight has been gained regarding volume management, including dosing strategies for intravenous loop diuretics and the role of ultrafiltration in patients with heart failure and renal dysfunction."2.49Acute decompensated heart failure: update on new and emerging evidence and directions for future research. ( Albert, NM; Butler, J; Carson, PE; Collins, SP; Colvin-Adams, M; Dimarco, JP; Ezekowitz, JA; Fang, JC; Givertz, MM; Hernandez, AF; Hershberger, RE; Katz, SD; Krishnamani, R; Rogers, JG; Spertus, JA; Starling, RC; Stevenson, WG; Stough, WG; Sweitzer, NK; Tang, WH; Teerlink, JR; Walsh, MN; Westlake Canary, CA, 2013)
"Myocardial infarction is common among the elderly."2.39Myocardial infarction. Considerations for geriatric patients. ( Sinclair, D, 1994)
"74%, respectively) and rales (56% vs."1.48Is Time of the Essence? The Impact of Time of Hospital Presentation in Acute Heart Failure: Insights From ASCEND-HF Trial. ( Ambrosy, AP; Armstrong, PW; Butler, J; Cerbin, LP; Coles, A; DeVore, AD; Ezekowitz, JA; Greene, SJ; Hernandez, AF; Mentz, RJ; Metra, M; O'Connor, CM; Starling, RC; Tang, W; Teerlink, JR; Voors, AA; Wu, A, 2018)
" Although there are Free Open Access Medical Education (FOAM) based podcasts as well as few studies to suggest the use of HDN, the evidence is limited by statistical flaws, incomplete dosing parameters and inconsistent methods of administration."1.48Recognition of Sympathetic Crashing Acute Pulmonary Edema (SCAPE) and use of high-dose nitroglycerin infusion. ( Clarkson, L; Paone, S; Punnapuzha, S; Sin, B, 2018)

Research

Studies (30)

TimeframeStudies, this research(%)All Research%
pre-199010 (33.33)18.7374
1990's3 (10.00)18.2507
2000's3 (10.00)29.6817
2010's12 (40.00)24.3611
2020's2 (6.67)2.80

Authors

AuthorsStudies
Hodroge, SS1
Glenn, M1
Breyre, A1
Lee, B1
Aldridge, NR1
Sporer, KA1
Koenig, KL1
Gausche-Hill, M1
Salvucci, AA1
Rudnick, EM1
Brown, JF1
Gilbert, GH1
Sekma, A1
Bel Haj Ali, K1
Jeddi, C1
Ben Brahim, N1
Bzeouich, N1
Gannoun, I1
Trabelssi, I1
Laouiti, K1
Grissa, MH1
Beltaief, K1
Zohra, D1
Asma, Z1
Lotfi, B1
Rym, Y1
Ben Soltane, H1
Zied, M1
Mariem, K1
Msolli, MA1
Riadh, B1
Bouida, W1
Boubaker, H1
Nouira, S1
Lanza, GA1
Filice, M1
De Vita, A1
Villano, A1
Manfredonia, L1
Lamendola, P1
Crea, F1
Cerbin, LP1
Ambrosy, AP1
Greene, SJ1
Armstrong, PW1
Butler, J2
Coles, A1
DeVore, AD1
Ezekowitz, JA2
Hernandez, AF2
Metra, M1
Starling, RC2
Tang, W1
Teerlink, JR2
Voors, AA1
Wu, A1
O'Connor, CM1
Mentz, RJ1
Paone, S1
Clarkson, L1
Sin, B1
Punnapuzha, S1
Givertz, MM1
Albert, NM1
Westlake Canary, CA1
Collins, SP1
Colvin-Adams, M1
Fang, JC1
Katz, SD1
Krishnamani, R1
Stough, WG1
Walsh, MN1
Carson, PE1
Dimarco, JP1
Hershberger, RE1
Rogers, JG1
Spertus, JA1
Stevenson, WG1
Sweitzer, NK1
Tang, WH1
Figueras, J1
Domingo, E1
Ferreira, I1
Lidón, RM1
Bellera, N1
Garcia-Dorado, D1
Harada, K1
Yamamoto, T1
Okumura, T1
Shigekiyo, M1
Terada, N1
Okada, A1
Kawata, A1
Iima, T1
Harada, T1
Fujisawa, K1
Kageyama, N1
Saito, A1
Yamamoto, H1
Fujinaga, H1
Wen, S1
Ning, J1
Collins, S1
Berry, D1
Gläser, S1
Obst, A1
Opitz, CF1
Dörr, M1
Felix, SB1
Empen, K1
Völzke, H1
Ewert, R1
Schäper, C1
Koch, B1
Squiccimarro, G1
Carrabba, M1
Hu, C1
Cappellini, MD1
Fabio, G1
Anand, A1
Srivastava, N1
Raj, H1
Odunukan, OW1
Abudiab, MM1
Sinak, LJ1
REAL, AP1
Lewis, E1
Stacey, MR1
Sinclair, D1
Jackson, G1
Gavaghan, BJ1
Kittleson, MD1
Shinohara, T1
Yanai, H1
Hidaka, T1
Suzuki, K1
Ohsuzu, F1
Bussmann, WD3
Schupp, D2
Volkmer, F1
Hochrein, H1
Kennedy, HL1
Underhill, SJ1
Vachalowa, J1
Kaltenbach, M1
Wolf, PS1
Reynolds, JL1
Whitlock, RM1
Powell, WJ1
Whiting, RB1
Dinsmore, RE1
Sanders, CA1
Pepne, CJ1
Schang, SJ1
Bemiller, CR1

Clinical Trials (3)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
The Use of Nesiritide in the Management of Acute Diastolic Heart Failure[NCT00083772]Phase 49 participants (Actual)Interventional2004-05-17Terminated
A Multicenter, Randomized, Double-Blind, Placebo-Controlled Study of the Hemodynamic and Clinical Effects of Natrecor (Nesiritide) Compared With Nitroglycerin Therapy for Symptomatic Decompensated CHF, The VMAC Trial: Vasodilation in the Management of Acu[NCT00270374]Phase 3498 participants (Actual)Interventional1999-10-31Completed
Double Blind Randomized Placebo Controlled Trial of Natrecor in Patients Hospitalized for Decompensated Heart Failure in the Presence of a Normal Left Ventricular Ejection Fraction[NCT00505791]Phase 40 participants (Actual)Interventional2007-08-31Withdrawn (stopped due to Unable to enroll patients)
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

4 reviews available for nitroglycerin and Dyspnea

ArticleYear
Acute decompensated heart failure: update on new and emerging evidence and directions for future research.
    Journal of cardiac failure, 2013, Volume: 19, Issue:6

    Topics: Adrenomedullin; Atrial Natriuretic Factor; Biomarkers; Blood Pressure Monitoring, Ambulatory; Cardio

2013
Acute heart failure with dyspnoea: initial treatment. Furosemide and trinitrine, despite the lack of a proven survival benefit.
    Prescrire international, 2011, Volume: 20, Issue:117

    Topics: Acute Disease; Blood Pressure; Diuretics; Dyspnea; Furosemide; Heart Failure; Nitroglycerin; Vasodil

2011
Myocardial infarction. Considerations for geriatric patients.
    Canadian family physician Medecin de famille canadien, 1994, Volume: 40

    Topics: Adrenergic beta-Antagonists; Age Factors; Aged; Aged, 80 and over; Angioplasty, Balloon, Coronary; A

1994
Cardiac asthma--its origin, recognition and management.
    Annals of allergy, 1976, Volume: 37, Issue:4

    Topics: Airway Resistance; Aminophylline; Animals; Bronchial Spasm; Digitalis Glycosides; Diuretics; Dyspnea

1976

Trials

6 trials available for nitroglycerin and Dyspnea

ArticleYear
Intravenous nicorandil for treatment of the urgent phase acute heart failure syndromes: A randomized, controlled trial.
    European heart journal. Acute cardiovascular care, 2017, Volume: 6, Issue:4

    Topics: Administration, Intravenous; Aged; Aged, 80 and over; Diastole; Dyspnea; Echocardiography; Emergency

2017
A response-adaptive design of initial therapy for emergency department patients with heart failure.
    Contemporary clinical trials, 2017, Volume: 52

    Topics: Acute Disease; Bayes Theorem; Blood Pressure; Diuretics; Dyspnea; Emergency Service, Hospital; Furos

2017
Effect of sublingual nitrate on respiratory reflexes arising from stimulation of juxta-pulmonary capillary (J) receptors by i.v. lobeline and short duration exercise.
    Respiratory physiology & neurobiology, 2012, May-31, Volume: 181, Issue:3

    Topics: Adaptation, Physiological; Administration, Sublingual; Adult; Blood Pressure; Dose-Response Relation

2012
Intravenous nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure: a randomized controlled trial.
    JAMA, 2002, Mar-27, Volume: 287, Issue:12

    Topics: Analysis of Variance; Atrial Natriuretic Factor; Cardiotonic Agents; Double-Blind Method; Drug Thera

2002
Intravenous nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure: a randomized controlled trial.
    JAMA, 2002, Mar-27, Volume: 287, Issue:12

    Topics: Analysis of Variance; Atrial Natriuretic Factor; Cardiotonic Agents; Double-Blind Method; Drug Thera

2002
Intravenous nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure: a randomized controlled trial.
    JAMA, 2002, Mar-27, Volume: 287, Issue:12

    Topics: Analysis of Variance; Atrial Natriuretic Factor; Cardiotonic Agents; Double-Blind Method; Drug Thera

2002
Intravenous nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure: a randomized controlled trial.
    JAMA, 2002, Mar-27, Volume: 287, Issue:12

    Topics: Analysis of Variance; Atrial Natriuretic Factor; Cardiotonic Agents; Double-Blind Method; Drug Thera

2002
Intravenous nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure: a randomized controlled trial.
    JAMA, 2002, Mar-27, Volume: 287, Issue:12

    Topics: Analysis of Variance; Atrial Natriuretic Factor; Cardiotonic Agents; Double-Blind Method; Drug Thera

2002
Intravenous nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure: a randomized controlled trial.
    JAMA, 2002, Mar-27, Volume: 287, Issue:12

    Topics: Analysis of Variance; Atrial Natriuretic Factor; Cardiotonic Agents; Double-Blind Method; Drug Thera

2002
Intravenous nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure: a randomized controlled trial.
    JAMA, 2002, Mar-27, Volume: 287, Issue:12

    Topics: Analysis of Variance; Atrial Natriuretic Factor; Cardiotonic Agents; Double-Blind Method; Drug Thera

2002
Intravenous nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure: a randomized controlled trial.
    JAMA, 2002, Mar-27, Volume: 287, Issue:12

    Topics: Analysis of Variance; Atrial Natriuretic Factor; Cardiotonic Agents; Double-Blind Method; Drug Thera

2002
Intravenous nesiritide vs nitroglycerin for treatment of decompensated congestive heart failure: a randomized controlled trial.
    JAMA, 2002, Mar-27, Volume: 287, Issue:12

    Topics: Analysis of Variance; Atrial Natriuretic Factor; Cardiotonic Agents; Double-Blind Method; Drug Thera

2002
Effects of a beta-adrenergic receptor blocker in myocardial infarction treated for one year from onset.
    British heart journal, 1972, Volume: 34, Issue:3

    Topics: Alprenolol; Amino Alcohols; Angina Pectoris; Blood Pressure; Cardiac Complexes, Premature; Clinical

1972
Effects of perhexiline on symptomatic and hemodynamic responses to exercise in patients with angina pectoris.
    The American journal of cardiology, 1974, May-20, Volume: 33, Issue:6

    Topics: Adult; Aged; Angina Pectoris; Arteriosclerosis; Blood Pressure; Catheterization; Clinical Trials as

1974

Other Studies

20 other studies available for nitroglycerin and Dyspnea

ArticleYear
Adult Patients with Respiratory Distress: Current Evidence-based Recommendations for Prehospital Care.
    The western journal of emergency medicine, 2020, Jun-25, Volume: 21, Issue:4

    Topics: Adult; Albuterol; Asthma; Bronchodilator Agents; California; Dyspnea; Emergency Medical Services; Ho

2020
Value of nitroglycerin test in the diagnosis of heart failure in emergency department patients with undifferentiated dyspnea.
    Clinical cardiology, 2021, Volume: 44, Issue:7

    Topics: Acute Disease; Dyspnea; Emergency Service, Hospital; Heart Failure; Humans; Natriuretic Peptide, Bra

2021
Microvascular Angina - Long-Term Exercise Stress Test Follow-up.
    Circulation journal : official journal of the Japanese Circulation Society, 2018, 03-23, Volume: 82, Issue:4

    Topics: Adenosine; Adult; Coronary Circulation; Dyspnea; Electrocardiography; Exercise Test; Female; Follow-

2018
Is Time of the Essence? The Impact of Time of Hospital Presentation in Acute Heart Failure: Insights From ASCEND-HF Trial.
    JACC. Heart failure, 2018, Volume: 6, Issue:4

    Topics: Acute Disease; After-Hours Care; Aged; Dyspnea; Emergency Service, Hospital; Female; Heart Failure;

2018
Recognition of Sympathetic Crashing Acute Pulmonary Edema (SCAPE) and use of high-dose nitroglycerin infusion.
    The American journal of emergency medicine, 2018, Volume: 36, Issue:8

    Topics: Aged, 80 and over; Atrial Fibrillation; Clinical Protocols; Dyspnea; Humans; Hypertension; Infusion

2018
Typical angina without significant coronary stenosis: comparison of clinical profile, circadian presentation, and long-term follow-up between patients with and patients without vasospastic angina.
    Coronary artery disease, 2013, Volume: 24, Issue:5

    Topics: Adult; Chi-Square Distribution; Circadian Rhythm; Coronary Angiography; Coronary Vasospasm; Diabetes

2013
Peripheral endothelial dysfunction is associated with gas exchange inefficiency in smokers.
    Respiratory research, 2011, Apr-25, Volume: 12

    Topics: Adult; Aged; Aged, 80 and over; Brachial Artery; Chi-Square Distribution; Cross-Sectional Studies; D

2011
What does acute dyspnea hide?
    Internal and emergency medicine, 2012, Volume: 7, Issue:4

    Topics: Acute Disease; Anti-Bacterial Agents; Bronchiolitis Obliterans; Diagnosis, Differential; Dyspnea; Hu

2012
48-year-old man with cough and leg swelling.
    Mayo Clinic proceedings, 2012, Volume: 87, Issue:12

    Topics: Acute Disease; Antihypertensive Agents; Cerebrovascular Circulation; Cough; Dyspnea; Echocardiograph

2012
[Nebulization of trinitrin in dyspneic episodes of left cardiac insufficiency].
    La Semana medica, 1956, Jan-05, Volume: 108, Issue:1

    Topics: Dyspnea; Heart Failure; Humans; Nitrites; Nitroglycerin

1956
Cardiorespiratory symptoms in pregnancy: not always pulmonary embolism.
    International journal of obstetric anesthesia, 2007, Volume: 16, Issue:2

    Topics: Cardiomyopathies; Cesarean Section; Chest Pain; Diagnosis, Differential; Diuretics; Dyspnea; Echocar

2007
The management of stable angina.
    Hospital practice (Office ed.), 1993, Jan-15, Volume: 28, Issue:1

    Topics: Adrenergic beta-Antagonists; Angina Pectoris; Angioplasty, Balloon, Coronary; Calcium Channel Blocke

1993
Dilated cardiomyopathy in an American cocker spaniel with taurine deficiency.
    Australian veterinary journal, 1997, Volume: 75, Issue:12

    Topics: Animals; Antihypertensive Agents; Breeding; Cardiomyopathy, Dilated; Cardiotonic Agents; Digoxin; Di

1997
Acute congestive heart failure associated with a limited form of systemic sclerosis and primary biliary cirrhosis.
    Internal medicine (Tokyo, Japan), 2001, Volume: 40, Issue:1

    Topics: Acute Disease; Antibody Specificity; Autoantibodies; Autoimmune Diseases; Centromere; Coronary Circu

2001
[Effect of nitroglycerin sublingually in the emergency management of "classical" pulmonary oedema (author's transl)].
    Deutsche medizinische Wochenschrift (1946), 1977, Mar-11, Volume: 102, Issue:10

    Topics: Aged; Blood Pressure; Cardiac Output; Dyspnea; Female; Heart Rate; Humans; Male; Middle Aged; Nitrog

1977
[Action of sustained release nitroglycerin on a pulmonary artery pressure in coronary heart disease (author's transl)].
    Deutsche medizinische Wochenschrift (1946), 1977, Oct-14, Volume: 102, Issue:41

    Topics: Aged; Angina Pectoris; Blood Pressure; Coronary Disease; Delayed-Action Preparations; Dyspnea; Human

1977
Effect of sublingual nitroglycerin in emergency treatment of severe pulmonary edema.
    The American journal of cardiology, 1978, May-01, Volume: 41, Issue:5

    Topics: Administration, Oral; Blood Pressure; Drug Evaluation; Dyspnea; Emergencies; Heart Rate; Humans; Myo

1978
Letter: Ischemic ST segment depression and dyspnea.
    American heart journal, 1975, Volume: 89, Issue:4

    Topics: Angina Pectoris; Coronary Disease; Dyspnea; Electrocardiography; Exercise Test; Heart Conduction Sys

1975
[Effect of nitroglycerine in acute myocardial infarction: I: Sublingual nitroglycerine in the treatment of left-heart failure and pulmonary oedema (author's transl)].
    Deutsche medizinische Wochenschrift (1946), 1975, Apr-04, Volume: 100, Issue:14

    Topics: Acute Disease; Administration, Oral; Aged; Blood Pressure; Cardiac Output; Dosage Forms; Dyspnea; He

1975
Symptomatic prognosis in patients with idiopathic hypertrophic subaortic stenosis (IHSS).
    The American journal of medicine, 1973, Volume: 55, Issue:1

    Topics: Administration, Oral; Adolescent; Aged; Angina Pectoris; Blood Pressure; Cardiac Catheterization; Ca

1973