Effectiveness of intravenous administration of nicorandil in a patient with variant angina refractory to continuous intravenous nitroglycerin

Kyung Hun Lee, Seong Hwan Kim, Hong Euy Lim, Eung Ju Kim, Min Kyu Kim, Woo Jung Park, Goo Yeong Cho

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Variant angina usually responds to conventional treatment with nitrates and calcium antagonists. However, severe variant angina refractory to intensive anti-anginal treatment can be catastrophic because prolonged occlusion of a major coronary artery can result in myocardial infarction, severe cardiac arrhythmia, and sudden death. We report a patient with active variant angina which was refractory to conventional treatment including sublingual nitroglycerin and intravenous nitroglycerin administration. Only intravenous administration of nicorandil was consistently effective in eliminating chest pain of the patient.

Original languageEnglish
Pages (from-to)e9-e12
JournalInternational Journal of Cardiology
Volume120
Issue number1
DOIs
Publication statusPublished - 2007 Aug 9

Keywords

  • Coronary spasm
  • Nicorandil
  • ST segment
  • Variant angina

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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