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How does nitroglycerin help in management of STEMI?

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Final answer:

Nitroglycerin is used in STEMI treatment to relieve chest pain and improve blood flow by releasing nitric oxide, which causes vasodilation of the coronary vessels, reducing the heart's workload and enhancing oxygen delivery to the myocardium.

Step-by-step explanation:

Nitroglycerin is commonly used to manage Symptoms of Myocardial Infarction (STEMI) due to its ability to relieve chest pain and improve blood flow to the heart muscle. It works by releasing nitric oxide (NO), which acts as a vasodilator, relaxing and expanding the blood vessels. This process reduces the workload on the heart by decreasing both preload and afterload, thereby improving oxygen delivery to the heart muscle and relieving pain.

Nitroglycerin, administered sublingually, is transformed into NO in the body. NO induces relaxation in the smooth muscle of the tunica media of coronary vessels, leading to vasodilation. The dilated blood vessels facilitate better blood flow, which is crucial during a STEMI when blood supply to the heart is compromised. This vasodilation effect also helps in reducing blood pressure, which can further benefit the heart by reducing its workload.

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