Treating Acute Decompensated Heart Failure in Patients with COVID-19 Using Intravenous Nitroglycerin in 5% Glutathione

Am J Cardiovasc Drugs. 2021 Nov;21(6):589-593. doi: 10.1007/s40256-021-00474-w. Epub 2021 Mar 22.

Abstract

The purpose of this current opinion article is to illustrate a novel approach to the treatment of acute decompensated heart failure (ADHF) in coronavirus disease 2019 (COVID-19) patients. The approach described herein relies on a reformulation of intravenous nitroglycerin in 5% glutathione, itself novel, and is felt to have the potential to not only improve the rate of resolution of ADHF, but also reduce the risk of complications of heart failure seen in patients with COVID-19.

MeSH terms

  • Administration, Intravenous
  • COVID-19 / complications*
  • Drug Compounding
  • Glutathione / chemistry
  • Heart Failure / diagnosis*
  • Heart Failure / etiology*
  • Humans
  • Infusions, Intravenous
  • Nitroglycerin / chemistry
  • Nitroglycerin / therapeutic use*
  • Vasodilator Agents / chemistry
  • Vasodilator Agents / therapeutic use*

Substances

  • Vasodilator Agents
  • Nitroglycerin
  • Glutathione