Skip to main content

Direct and Indirect Effects of Nitroglycerin on Systolic and Diastolic Left Ventricular Function

  • Conference paper
Nitrates III

Abstract

The basic pharmacological property of nitrites is to relax smooth muscle, and the well-documented hemodynamic effects of these drugs have generally been thought to be secondary to their actions on vascular smooth muscle [5, 11]. Direct cardiac effects have remained largely undetermined or controversial. We have studied the actions of nitroglycerin (NTG) on left ventricular (LV) function in man administered by the sublingual (SL) [1] route and by intracoronary (IC) injection [6]. This approach allowed separation of direct (cardiac) and indirect (peripheral) effects of the drug.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Amende I, Simon R, Hood WP jr, Lichtlen P (1979) The effects of the beta-blocker atenolol and nitroglycerin on left ventricular function and geometry in man. Circulation 60: 836

    PubMed  CAS  Google Scholar 

  2. Gaasch WH, Bernard SA (1977) The effect of acute changes in coronary blood flow on left ventricular end-diastolic wall thickness: An echocardiographic study. Circulation 56: 593

    PubMed  CAS  Google Scholar 

  3. Gaasch WH, Levine HJ, Quinones MA, Alexander JK (1976) Left ventricular compliance: Mechanisms and clinical implications. Am J Cardiol 38: 645

    Article  PubMed  CAS  Google Scholar 

  4. Ganz W, Marcus HS (1972) Failure of intracoronary nitroglycerin to alleviate pacing-induced angina. Circulation 46: 880

    PubMed  CAS  Google Scholar 

  5. Hickerson M (1970) Vasodilator drugs. In: Goodman LS, Gilman A (eds) The pharmacological basis of therapeutics, 4 th edn. MacMillan, New York, p 745

    Google Scholar 

  6. Hood WP jr, Amende I, Simon R, Lichtlen PR (1980) The effects of intracoronary nitroglycerin on left ventricular systolic and diastolic function in man. Circulation 61: 1098

    PubMed  Google Scholar 

  7. Mason DT (1969) Usefulness and limitations of the rate of rise of intraventricular pressure (dP/dt) in the evaluation of myocardial contractility in man. Am J Cardiol 23: 516

    Article  PubMed  CAS  Google Scholar 

  8. Mirsky I (1976) Assessment of passive elastic stiffness of cardiac muscle: Mathematical concepts, physiologic and clinical considerations, direction of future research. Prog Cardiovasc Dis 18: 277

    Article  PubMed  CAS  Google Scholar 

  9. Salisbury PF, Cross CE, Rieben PA (1980) Influence of coronary artery pressure upon myocardial elasticity. Circ Res 8: 794

    Google Scholar 

  10. Templeton GH, Wildenthal K, Mitchell JH (1972) Influence of coronary blood flow on left ventricular contractility and stiffness. Am J Physiol 223: 1216

    PubMed  CAS  Google Scholar 

  11. Vatner SF, Heyndrickx GR (1975) Mechanisms of action of nitroglycerin: Coronary, cardiac, and systemic effects. In: Needleman P (ed) Organic Nitrates. Springer, Berlin Heidelberg New York (Handbook of Experimental Pharmacology, volume 40, p. 131 )

    Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1981 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Amende, I., Simon, R., Hood, W.P., Daniel, W., Lichtlen, P. (1981). Direct and Indirect Effects of Nitroglycerin on Systolic and Diastolic Left Ventricular Function. In: Lichtlen, P.R., Engel, HJ., Schrey, A., Swan, H.J.C. (eds) Nitrates III. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-68085-4_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-68085-4_19

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-68087-8

  • Online ISBN: 978-3-642-68085-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics