Coronary Spasm Associated with Nitroglycerin Administration – A Case Report and Review of the Literature
نویسندگان
چکیده
Coronary artery vasospasm following administration of sublingual (SL) nitroglycerin (NTG) was first described in the literature by Feldman and colleagues in 1978 [1]. The frequency of this finding and its clinical significance is unknown; however, it is corroborated by other reports of paradoxical blood pressure elevation after nitroglycerin administration [2] and anecdotally noted rare patient complaints of worsening angina following self administration of SL NTG. Unlike all prior reports where spasm of the proximal vessel spasm, we describe a case of mid vessel coronary spasm following NTG administration documented during coronary angiography using the Judkins technique and provide a review of the literature.
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