PMID: 6407806Jul 1, 1983Paper

Complete heart block after sublingual nitroglycerin

Chest
L Lancaster, P E Fenster

Abstract

A 62-year-old man who was under observation following an episode of severe chest pain developed complete heart block and hypotension after receiving sublingual nitroglycerin. The reaction occurred while the patient was receiving an intravenous maintenance infusion of lidocaine but did not occur in response to either nitroglycerin alone or lidocaine alone. There was no evidence of acute cardiac ischemia nor of clinically significant underlying heart disease. Complete heart block after sublingual nitroglycerin in the absence of significant cardiac disease is an exceedingly rare phenomenon.

References

Aug 1, 1978·Chest·D E Manyari-Ortega, F J Brennan
Jan 1, 1937·The Journal of Clinical Investigation·S WeissF W Haynes

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Citations

Jan 1, 1986·International Journal of Cardiology·D Antonelli, J Barzilay
Dec 2, 2010·Journal of Cardiovascular Medicine·Fahad YounasJohn F Cotant
Aug 16, 2006·Expert Opinion on Drug Safety·Udho Thadani, Tiffany Rodgers
Mar 1, 1990·International Journal of Cardiology·S ScardiC Pandullo
Jan 1, 1994·Annals of Emergency Medicine·R WuerzG S Roth
Jul 20, 2016·The American Journal of Medicine·Jason ThomasPaul Haggerty
Jan 14, 1988·The New England Journal of Medicine
May 1, 1993·The American Journal of Emergency Medicine·R Buckley, R Roberts
Jan 5, 2000·The Psychoanalytic Quarterly·S F Bauer

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