Gould L, Patel S, Gomes G I, Reddy C V
Angiology. 1982 Feb;33(2):125-30. doi: 10.1177/000331978203300208.
A 52-year-old male was admitted to the hospital in congestive heart failure. Mitral stenosis as well as an aortic valve prosthesis were the underlying cardiac abnormalities. A Swan-Ganz catheter was inserted and various vasodilators were administered. Phentolamine, nitrates, nitroprusside, and hydralazine all produced an unexpected and at times an alarming increase in the pulmonary artery pressure. The explanation of this paradoxical hemodynamic response is unknown but demonstrates the importance of hemodynamic monitoring with vasodilator therapy
一名52岁男性因充血性心力衰竭入院。潜在的心脏异常为二尖瓣狭窄以及主动脉瓣人工瓣膜。插入了一根 Swan-Ganz 导管，并给予了各种血管扩张剂。酚妥拉明、硝酸盐、硝普钠和肼苯哒嗪均导致肺动脉压意外升高，有时甚至令人担忧。这种矛盾的血流动力学反应的原因尚不清楚，但表明了血管扩张剂治疗时血流动力学监测的重要性。
