Case report

DOI: http://doi.org/10.31928/2305-3127-2020.2.5457 

Is the place of nitrates preserved in the treatment of heart failure?

I.V. Shklianka ^{1, 2}, O.A. Yepanchintseva ^{1, 2}, O.J. Zharinov ²

¹ Heart Institute, Ministry of Health of Ukraine, Kyiv, Ukraine 
² Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine 

Is the place of nitrates preserved in the treatment of heart failure?

The clinical case demonstrates the advisability of using long-acting nitrates in a revascularized patient with multivascular lesions of the coronary arteries and increased signs of heart failure. According to current international guidelines, the use of nitrates should be considered in addition to basic therapy of heart failure in case of decompensation of blood circulation, as well as in combination with hydralazine in case of intolerance to renin-angiotensin system blockers, and not only in case of heart failure of ischemic etiology.

Key words: heart failure, drug treatment, nitrates.