Marrott P K, Nairn P L, Dawson C J, Martin S M
N Z Med J. 1982 Sep 22;95(716):663-6.
Intravenous nitroglycerin (IVNG) was used in 12 instances (11 patients) to relieve pain, following myocardial infarction or unstable angina. The strength of IVNG infusion could be easily controlled and relief of pain was prompt and satisfactory. Excessive tachycardia or severe headache was not encountered and marked hypotension was seen in one patient only. This patient had three vessel coronary artery disease, extensive myocardial damage and vein graft closure. Cardiovascular stability was provided by IVNG, prior to and during cardiac catheterisation and cineangiography, transportation to another hospital and vein graft surgery. IVNG appears to be a safe and effective drug in the management of patients with acute coronary artery disease (unstable angina and myocardial infarction). In those with both right and left ventricular wall infarction, however, the usefulness of IVNG needs to be established.
静脉注射硝酸甘油（IVNG）用于12例（11名患者）心肌梗死或不稳定型心绞痛后缓解疼痛。IVNG输注的剂量易于控制，疼痛缓解迅速且令人满意。未出现过度心动过速或严重头痛，仅1例患者出现明显低血压。该患者患有三支冠状动脉疾病、广泛心肌损伤和静脉移植物闭塞。在心脏导管插入术和心血管造影术之前、期间、转送至另一家医院以及静脉移植物手术过程中，IVNG维持了心血管稳定性。IVNG似乎是治疗急性冠状动脉疾病（不稳定型心绞痛和心肌梗死）患者的一种安全有效的药物。然而，在同时患有右心室和左心室壁梗死的患者中，IVNG的有效性尚需确定。
