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November 1, 1965Circulation432 citationsOpen Access

The Effects of Nitroglycerin and Amyl Nitrite on Arteriolar and Venous Tone in the Human Forearm

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DMDean T. MasonEBEugene BraunwaldFBFrederick A. Bullock

Structured PICO

What are the effects of sublingual nitroglycerin and inhaled amyl nitrite on arteriolar and venous tone in the human forearm?

P
Population
11 normal subjects
I
Intervention
Sublingual nitroglycerin and inhaled amyl nitrite (with subsequent administration of guanethidine or reserpine to impede adrenergic activity)
O
Outcome
Effects on the arteriolar and venous beds of the forearm (forearm blood flow, venous tone, systemic arterial pressure, and forearm vascular resistance)surrogate

Nitroglycerin and amyl nitrite have contrasting effects on venous tone, with amyl nitrite causing an adrenergically mediated venoconstriction.

Abstract

The effects of sublingual nitroglycerin and inhaled amyl nitrite on the arteriolar and venous beds of the forearm were studied in 11 normal subjects. Forearm blood flow was measured with a strain-gauge plethysmograph, and venous tone was determined both by an acute occlusion technic, and by several equilibration technics. Nitroglycerin reduced systemic arterial pressure, elevated forearm blood flow, lowered forearm vascular resistance and decreased venous tone. Amyl nitrite diminished arterial pressure, elevated forearm blood flow, markedly decreased forearm vascular resistance, but in contrast to nitroglycerin augmented venous tone strikingly. This venoconstriction was abolished or diminished when adrenergic activity was impeded by administration of either guanethidine or reserpine.

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Mason et al. (1965) studied this question.

synapsesocial.com/papers/6a157949d64fa333899fb5e2https://doi.org/10.1161/01.cir.32.5.755
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