Kalp Yetmezliği İle Komplike Akut Myokard İnfarktüsü Hastalarda İntravenöz Verilen Nitrogliserinin Etkisi

Year 1987, Volume: 40 Issue: 2, 85 - 90, 30.06.1987

Adalet Gürlek

https://izlik.org/JA56SX88FC

Abstract

1985 yılı içinde A. Ü.T.F. Kardiyoloji Kliniği koroner bakımına yatan kalb yetmezliği ile komplike 19 akut myokard infarktüs vakasına nitroglycerin infüzyonu uyguladık. İnfüzyondan önce hastalara swan'ganz kateter tatbik edilerek infüzyondan önce ve infüzyon sırasında 1-5-10-30-60 cı dakikalarda wedge basınç ölçüldü. İnfüzyondan önce Ort. 26,3 mmHg olan wedge basınç I. dakikadan itibaren düşmeye başladı ve 60. dakikada 18 mmHg olarak ölçüldü. Wedge basınç, yeterli kalb atm volümünü sağlayabilmek için 18 mmHg nin altına düşürülmedi. Hastaların genel durumunda belirgin bir düzelme oldu. Dispneleri azaldı ve akciğerlerindeki ince raller azaldı.

Effect of Intravenous Nitroglycerin in Patients with Acute Myocardial Infarction Complicated with Heart Failure

https://izlik.org/JA56SX88FC

Abstract

İntravenous nitroglyserin therapy was given to 19 patients with acute myocardial infarction complicated with heart failure in the coronary care unit of Ankara University Medical Faculty in 1985. Before infusions swan-ganz catheter was applied and wedge pressures were measured before and during infusions at 1,5,10,30 and 60th. minutes. The mean wedge preasure was 26.33 mmHg before infusion, it started to decrease within the first minute of infusion and at the 60th. minute it was measured as 18 mmHg. The wedge prssure was not allowed to fall below 18 mmHg. in order to maintain the adeguate stroke volume.The general conditions of the patients showed a, significant improvement. Their dyspnea and the rales in their lungs decreased considerably.

Keywords

Acute Myocardial Infarction , Nitroglycerin Therapy , Pulmonary Wedge Pressure

Ethical Statement

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Supporting Institution

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Thanks

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References

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