Page last updated: 2024-11-01

nitroglycerin and Subarachnoid Hemorrhage

nitroglycerin has been researched along with Subarachnoid Hemorrhage in 20 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.

Subarachnoid Hemorrhage: Bleeding into the intracranial or spinal SUBARACHNOID SPACE, most resulting from INTRACRANIAL ANEURYSM rupture. It can occur after traumatic injuries (SUBARACHNOID HEMORRHAGE, TRAUMATIC). Clinical features include HEADACHE; NAUSEA; VOMITING, nuchal rigidity, variable neurological deficits and reduced mental status.

Research Excerpts

ExcerptRelevanceReference
"Controlled hypotension with nitroglycerin has been used n 30 neurosurgical procedures for aneurysms clipping, artero-veinous malformations, cerebral vascularised tumours and in some cases in the course of serial carotido-cerebral angiography."7.66[Controlled hypotension with nitroglycerin in neurosurgery (author's transl)]. ( Benech, F; Liboni, W; Lo Russo, G; Urciuoli, R, 1980)
"Nitroglycerin was used in a target dose of 14 microg/kg/h."6.71Transdermal nitroglycerin in patients with subarachnoid hemorrhage. ( Andres, R; Barth, L; Ozdoba, C; Reinert, M; Seiler, R; Wiest, R, 2004)
"In the rabbit subarachnoid hemorrhage (SAH) model, the sensitivity of spastic basilar arteries to nitric oxide (NO) was enhanced whereas the endothelial function to release/produce NO became impaired, as described previously."5.31Effective improvement of the cerebral vasospasm after subarachnoid hemorrhage with low-dose nitroglycerin. ( Azuma, H; Hirakawa, K; Isotani, E; Ito, Y; Mizuno, Y, 2000)
"Controlled hypotension with nitroglycerin has been used n 30 neurosurgical procedures for aneurysms clipping, artero-veinous malformations, cerebral vascularised tumours and in some cases in the course of serial carotido-cerebral angiography."3.66[Controlled hypotension with nitroglycerin in neurosurgery (author's transl)]. ( Benech, F; Liboni, W; Lo Russo, G; Urciuoli, R, 1980)
"Nitroglycerin was used in a target dose of 14 microg/kg/h."2.71Transdermal nitroglycerin in patients with subarachnoid hemorrhage. ( Andres, R; Barth, L; Ozdoba, C; Reinert, M; Seiler, R; Wiest, R, 2004)
"In the case of hypertensive encephalopathy, the lowering of blood pressure is therapeutic as well as diagnostic."2.43[Antihypertensive management in acute cerebral stroke]. ( Ziliene, V, 2005)
"Patients with cerebral vasospasm caused by aneurysmal subarachnoid hemorrhage (aSAH) are often treated with intra-arterial (IA) vasodilator infusion."1.62Use of single versus multiple vasodilator agents in the treatment of cerebral vasospasm: is more better than less? ( Bulsara, K; Chen, PR; Day, AL; Erkmen, K; Kim, DH; Lopez-Rivera, V; Oni-Orisan, AO; Sanzgiri, A; Sheriff, FG; Sheth, S; Vahidy, FS, 2021)
"Delayed cerebral vasospasm after aneurysmal subarachnoid hemorrhage (SAH) is a major cause of high morbidity and mortality."1.37Continuous intrathecal glyceryl trinitrate prevents delayed cerebral vasospasm in the single-SAH rabbit model in vivo. ( Fandino, J; Fathi, AR; Graupner, T; Jakob, SM; Marbacher, S; Schroth, G; Wehrli, F, 2011)
"In the rabbit subarachnoid hemorrhage (SAH) model, the sensitivity of spastic basilar arteries to nitric oxide (NO) was enhanced whereas the endothelial function to release/produce NO became impaired, as described previously."1.31Effective improvement of the cerebral vasospasm after subarachnoid hemorrhage with low-dose nitroglycerin. ( Azuma, H; Hirakawa, K; Isotani, E; Ito, Y; Mizuno, Y, 2000)
"To investigate the effects of subarachnoid hemorrhage (SAH) on the responsiveness of human cerebral arteries to vasoactive substances, the authors measured the isometric tension generated in helical strips of basilar and middle cerebral arteries isolated from human cadavers."1.29Altered reactivity of human cerebral arteries after subarachnoid hemorrhage. ( Abe, T; Akiyama, M; Kaito, N; Onoue, H; Tokudome, S; Tomii, M, 1995)
"The effects of intravenous nitroglycerin (NTG) combined with dopamine on intracranial pressure (ICP) and cerebral arteriovenous oxygen difference (AVDO2) were studied in 11 patients with acute subarachnoid haemorrhage (SAH)."1.29Effects of intravenous nitroglycerin combined with dopamine on intracranial pressure and cerebral arteriovenous oxygen difference in patients with acute subarachnoid haemorrhage. ( Aoki, H; Boku, E; Goda, K; Imanishi, M; Iwanaga, H; Koshimae, N; Okuchi, K; Sakaki, T; Tokunaga, H, 1995)
"Especially in patients with severe subarachnoid hemorrhage classified as CT group 3 or 4, symptomatic vasospasm occurred in 11 patients (30."1.28[Clinical effect of nitroglycerin (GTN) on prevention of cerebral vasospasm]. ( Goto, T; Ogayama, H; Sasaki, J; Sasanuma, J; Watanabe, K, 1991)
"These results suggest that subarachnoid hemorrhage influences both the generation of EDRF and the constriction of affected arteries."1.28Pharmacological studies on relaxation of spastic primate cerebral arteries in subarachnoid hemorrhage. ( Cook, DA; Findlay, JM; Kanamaru, K; Krueger, CA; Weir, BK, 1989)

Research

Studies (20)

TimeframeStudies, this research(%)All Research%
pre-19906 (30.00)18.7374
1990's6 (30.00)18.2507
2000's6 (30.00)29.6817
2010's1 (5.00)24.3611
2020's1 (5.00)2.80

Authors

AuthorsStudies
Chen, PR1
Bulsara, K1
Lopez-Rivera, V1
Sheriff, FG1
Sanzgiri, A1
Sheth, S1
Oni-Orisan, AO1
Vahidy, FS1
Erkmen, K1
Kim, DH1
Day, AL1
Fathi, AR1
Marbacher, S2
Graupner, T2
Wehrli, F1
Jakob, SM2
Schroth, G1
Fandino, J2
Castriota, F1
Cremonesi, A1
Manetti, R1
Liso, A1
Oshola, K1
Ricci, E1
Balestra, G1
Reinert, M1
Wiest, R1
Barth, L1
Andres, R1
Ozdoba, C1
Seiler, R1
Ziliene, V1
Neuschmelting, V1
Pluta, RM1
Artru, F1
Philippon, B1
Poussel, JF1
Montarry, M1
Deleuze, R1
Farelli, S1
Mazzone, P1
Robbiano, F1
Turco, M1
Urciuoli, R1
Benech, F1
Liboni, W1
Lo Russo, G1
Frazee, JG1
Giannotta, SL1
Stern, WE1
Onoue, H1
Kaito, N1
Akiyama, M1
Tomii, M1
Tokudome, S1
Abe, T1
Sutter, B1
Suzuki, S1
Arthur, AS1
Kassell, NF1
Lee, KS1
Iwanaga, H2
Okuchi, K1
Koshimae, N1
Goda, K1
Imanishi, M1
Tokunaga, H1
Aoki, H1
Boku, E1
Sakaki, T1
Nakao, K1
Murata, H1
Kanamaru, K2
Waga, S1
Ito, Y1
Isotani, E1
Mizuno, Y1
Azuma, H1
Hirakawa, K1
Abe, K1
Yoshiya, I1
Sasanuma, J1
Goto, T1
Ogayama, H1
Sasaki, J1
Watanabe, K1
Weir, BK1
Findlay, JM1
Krueger, CA1
Cook, DA1
Poletti, CE1
Wepsic, JG1
Sweet, WH1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Systemic Nitrosative/Oxidative Stress in Patients With Acute Brain Injury[NCT04951453]150 participants (Actual)Observational2021-08-18Active, not recruiting
Cerebral Nitrosative/Oxidative Stress in Aneurysmal Subarachnoid Haemorrhage[NCT05686265]32 participants (Anticipated)Observational2023-05-11Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

2 reviews available for nitroglycerin and Subarachnoid Hemorrhage

ArticleYear
[Antihypertensive management in acute cerebral stroke].
    Medicina (Kaunas, Lithuania), 2005, Volume: 41, Issue:1

    Topics: Acute Disease; Adult; Antihypertensive Agents; Brain Injuries; Cerebrovascular Circulation; Emergenc

2005
Dysfunction of nitric oxide synthases as a cause and therapeutic target in delayed cerebral vasospasm after SAH.
    Acta neurochirurgica. Supplement, 2008, Volume: 104

    Topics: Humans; Intracranial Aneurysm; Nitric Oxide; Nitric Oxide Donors; Nitric Oxide Synthase; Nitric Oxid

2008
Dysfunction of nitric oxide synthases as a cause and therapeutic target in delayed cerebral vasospasm after SAH.
    Acta neurochirurgica. Supplement, 2008, Volume: 104

    Topics: Humans; Intracranial Aneurysm; Nitric Oxide; Nitric Oxide Donors; Nitric Oxide Synthase; Nitric Oxid

2008
Dysfunction of nitric oxide synthases as a cause and therapeutic target in delayed cerebral vasospasm after SAH.
    Acta neurochirurgica. Supplement, 2008, Volume: 104

    Topics: Humans; Intracranial Aneurysm; Nitric Oxide; Nitric Oxide Donors; Nitric Oxide Synthase; Nitric Oxid

2008
Dysfunction of nitric oxide synthases as a cause and therapeutic target in delayed cerebral vasospasm after SAH.
    Acta neurochirurgica. Supplement, 2008, Volume: 104

    Topics: Humans; Intracranial Aneurysm; Nitric Oxide; Nitric Oxide Donors; Nitric Oxide Synthase; Nitric Oxid

2008

Trials

2 trials available for nitroglycerin and Subarachnoid Hemorrhage

ArticleYear
Transdermal nitroglycerin in patients with subarachnoid hemorrhage.
    Neurological research, 2004, Volume: 26, Issue:4

    Topics: Administration, Cutaneous; Blood Flow Velocity; Blood Pressure; Brain Mapping; Cerebrovascular Circu

2004
Carbon dioxide reactivity and local cerebral blood flow during prostaglandin E1- or nitroglycerin-induced hypotension.
    Canadian journal of anaesthesia = Journal canadien d'anesthesie, 1992, Volume: 39, Issue:8

    Topics: Adult; Aged; Alprostadil; Anesthesia, Inhalation; Blood Pressure; Carbon Dioxide; Cerebrovascular Ci

1992

Other Studies

16 other studies available for nitroglycerin and Subarachnoid Hemorrhage

ArticleYear
Use of single versus multiple vasodilator agents in the treatment of cerebral vasospasm: is more better than less?
    Acta neurochirurgica, 2021, Volume: 163, Issue:1

    Topics: Female; Humans; Infusions, Intra-Arterial; Male; Middle Aged; Nicardipine; Nitroglycerin; Retrospect

2021
Continuous intrathecal glyceryl trinitrate prevents delayed cerebral vasospasm in the single-SAH rabbit model in vivo.
    Acta neurochirurgica, 2011, Volume: 153, Issue:8

    Topics: Animals; Disease Models, Animal; Injections, Spinal; Intracranial Aneurysm; Male; Nitroglycerin; Rab

2011
Impact of cerebral protection devices on early outcome of carotid stenting.
    Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists, 2002, Volume: 9, Issue:6

    Topics: Aged; Blood Vessel Prosthesis Implantation; Carotid Artery, Common; Carotid Stenosis; Cerebrovascula

2002
Prevention of delayed cerebral vasospasm by continuous intrathecal infusion of glyceroltrinitrate and nimodipine in the rabbit model in vivo.
    Intensive care medicine, 2008, Volume: 34, Issue:5

    Topics: Animals; Basilar Artery; Cerebral Angiography; Female; Injections, Spinal; Male; Nimodipine; Nitric

2008
[Effects of intravenous nitroglycerin on blood pressure, intracranial pressure and total and regional cerebral blood flow in cases of subarachnoid hemorrhage with vasospasm].
    Agressologie: revue internationale de physio-biologie et de pharmacologie appliquees aux effets de l'agression, 1984, Volume: 25, Issue:7

    Topics: Blood Pressure; Cerebrovascular Circulation; Humans; Intracranial Aneurysm; Intracranial Pressure; I

1984
[Intraoperative controlled hypotension using nitroglycerine].
    Minerva anestesiologica, 1984, Volume: 50, Issue:5

    Topics: Anesthesia, General; Drug Evaluation; Female; Humans; Hypotension, Controlled; Intracranial Arteriov

1984
[Controlled hypotension with nitroglycerin in neurosurgery (author's transl)].
    Neuro-Chirurgie, 1980, Volume: 26, Issue:1

    Topics: Adult; Humans; Hypotension; Intracranial Pressure; Intraoperative Complications; Ischemic Attack, Tr

1980
Intravenous nitroglycerin for the treatment of chronic cerebral vasoconstriction in the primate.
    Journal of neurosurgery, 1981, Volume: 55, Issue:6

    Topics: Animals; Brain; Female; Injections, Intravenous; Macaca mulatta; Macaca nemestrina; Male; Nitroglyce

1981
Altered reactivity of human cerebral arteries after subarachnoid hemorrhage.
    Journal of neurosurgery, 1995, Volume: 83, Issue:3

    Topics: Adult; Aged; Analysis of Variance; Bradykinin; Cerebral Arteries; Dinoprost; Epoprostenol; Female; H

1995
Effects of subarachnoid hemorrhage on vascular responses to calcitonin gene-related peptide and its related second messengers.
    Journal of neurosurgery, 1995, Volume: 83, Issue:3

    Topics: Analysis of Variance; Animals; Basilar Artery; Calcitonin Gene-Related Peptide; Colforsin; Cyclic AM

1995
Effects of intravenous nitroglycerin combined with dopamine on intracranial pressure and cerebral arteriovenous oxygen difference in patients with acute subarachnoid haemorrhage.
    Acta neurochirurgica, 1995, Volume: 136, Issue:3-4

    Topics: Adult; Aged; Brain; Dopamine; Dose-Response Relationship, Drug; Drug Therapy, Combination; Female; H

1995
Effects of nitroglycerin on vasospasm and cyclic nucleotides in a primate model of subarachnoid hemorrhage.
    Stroke, 1996, Volume: 27, Issue:10

    Topics: Animals; Blood Pressure; Cerebral Angiography; Cerebral Arteries; Cerebral Cortex; Cerebrovascular C

1996
Effective improvement of the cerebral vasospasm after subarachnoid hemorrhage with low-dose nitroglycerin.
    Journal of cardiovascular pharmacology, 2000, Volume: 35, Issue:1

    Topics: Administration, Cutaneous; Animals; Basilar Artery; Coronary Angiography; Hemodynamics; In Vitro Tec

2000
[Clinical effect of nitroglycerin (GTN) on prevention of cerebral vasospasm].
    No shinkei geka. Neurological surgery, 1991, Volume: 19, Issue:3

    Topics: Adult; Aged; Aged, 80 and over; Drug Evaluation; Female; Humans; Intracranial Aneurysm; Ischemic Att

1991
Pharmacological studies on relaxation of spastic primate cerebral arteries in subarachnoid hemorrhage.
    Journal of neurosurgery, 1989, Volume: 71, Issue:6

    Topics: Acetylcholine; Animals; Calcimycin; Cerebral Angiography; Cerebral Arteries; Endothelium, Vascular;

1989
Middle cerebral arterial spasm from subarachnoid blood: spasmolysis with topical use of nitroglycerin.
    Surgical forum, 1972, Volume: 23, Issue:0

    Topics: Animals; Cerebral Arterial Diseases; Dogs; Ischemic Attack, Transient; Nitroglycerin; Subarachnoid H

1972