Why is it that some doctors just give a patient a prescription for nitroglycerin when then come in for the first time complaining of chest pain? No work up done! No stress test. No nuclear scan. No cath. No squat! If you ask me it is serious idiocy or laziness on the part of the MD. You should not take NTG unless you are proven to have stable angina (with documented or very highly suspected stable coronary artery disease not amenable to surgery or stenting that causes the pain). The other day I had a 60 year old lady who was popping NTG left and right for weeks when she would have either nausea, chest pain, abdominal cramps or “just didn’t feel well”. She came in because she was found passed out in the bathroom. The NTG drops your blood pressure and can cause passing out very easily if overtaken or if your pressure was already low. Her family stated they had seen a doc for the first time about 6 months ago as a walk in and he just gave her the nitro and sent her on her way with no workup. No wonder she passed out. When is asked about her chest pain – it was very vague and could easily have been something besides angina causing it. She got admitted for a proper work up.
Some docs are idiots.