Nitrate Tolerance as a Possible Cause of Multidrug-Resistant Coronary Artery Spasm A Case Report and Its Implications

作者:Morikawa Yoshinobu*; Mizuno Yuji; Harada Eisaku; Kuboyama Osamu; Yoshimura Michihiro; Yasue Hirofumi
来源:International Heart Journal, 2010, 51(3): 211-213.
DOI:10.1536/ihj.51.211

摘要

Coronary spasm can usually be controlled by administration of Ca antagonists. However. there are some cases of coronary spasm whose attacks cannot be controlled even with large doses of Ca antagonist and/or its combination with nitrates Here we describe the case of a 41-year-old man whose attacks of coronary spasm were resistant to the combined administration of nitrates, Ca antagonists. and a statin The attacks were all and disappeared after withdrawal of nitrates and recurred after readministration of a nitroglycerin patch The involvement of nitrate tolerance in the pathogenesis of multidrug resistant coronary spasm was revealed and its implication discussed (Int Heart J 2010, 51 211-213)

  • 出版日期2010-5