Transient pulsus alternans induced by isosorbide dinitrate: echocardiographic and hemodynamic evidence of reduced venous return--a case report.

Abstract:

:Transient pulsus alternans was induced by isosorbide dinitrate (ISDN) in a patient with postmyocarditis congestive heart failure under diuretic therapy. The severity and duration of pulsus alternans depended on the dose of ISDN. According to the echocardiographic and hemodynamic examinations, the superimposed preload reduction caused by ISDN combined with decreased blood volume owing to diuretic therapy most likely contributed to the development of pulsus alternans.

journal_name

Angiology

journal_title

Angiology

authors

Matsuhashi H,Onodera S,Hasebe N,Maruyama J,Honda H,Yamashita H,Tobise K

doi

10.1177/000331979104200611

subject

Has Abstract

pub_date

1991-06-01 00:00:00

pages

504-11

issue

6

eissn

0003-3197

issn

1940-1574

journal_volume

42

pub_type

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