@zachmsutton Do you have sources for the “more recent studies” showing no increased incidence of HoTN post-nitro in inferior/RV MI? The linked source cites nothing.
UTD advises to use with significant caution or avoid if evidence of decreased preload.
I have heard this discussed on EM:RAP but I can’t find the episode atm. I believe this threat has been mostly theoretical and based on a small study from the 90’s. Should the BP drop it’s as easy as d/c ing the nitro and due to its fast on fast off property it shouldn’t be an issue.
Here is an article that basically explains why this is okay to do. “Go or No-Go” for Nitro? – Reevaluating Nitrates in the Right-Ventricular STEMI – CriticalCareNow
Here is the retrospective cohort study that references the equivalence of hypotension rates in inferior MIs and other MIs. Prehospital Nitroglycerin Safety in Inferior ST Elevation Myocardial Infarction - PubMed