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Organic Nitrates (Paperback, Softcover reprint of the original 1st ed. 1975)
Loot Price: R2,912
Discovery Miles 29 120
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Organic Nitrates (Paperback, Softcover reprint of the original 1st ed. 1975)
Series: Handbook of Experimental Pharmacology, 40
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Nitroglycerin and other organic nitrates have been used for over a
century in the treatment of angina pectoris. Millions of patients,
throughout the world, have placed nitroglycerin tablets under the
tongue and have experienced rapid and dramatic relief from the
chest pain that frequently occurs as a manifestation of disease of
the coronary arteries. The empirical observation of the safe use of
nitrates for tile alleviation of the symptoms of angina have led to
their widespread medical acceptance. The use of organic nitrates
preceded any knowledge of their mechanism of action or their
ultimate metabolic fate. Thus, more simply stated, although sub
lingual nitrates helped the patients, little was known concerning
what these drugs do to the body or what the body does to the drugs.
A substantial number of investigators have focused on these
questions especially during the last two decades. We now have
considerably more insight into the pathways of degradation of
organic nitrates and the relationship of the metabolic processes to
the biological action of these agents. Similarly, considerable
effort has been expended in understanding the mechanism of action
of these agents directly on vascular smooth muscle and on cardiac
work and performance. Finally, there is a more substantive
understanding of the physiology of the coronary circulation as well
as the" pathophysiologic manifestations of myocardial disease."
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