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Does long-acting glyceryl trinitrate reduce the frequency of attacks in patients with angina pectoris?
Does long-acting glyceryl trinitrate reduce the frequency of attacks in patients with angina pectoris?
Long-acting glyceryl trinitrate significantly reduces the frequency of angina attacks and improves exercise performance in patients with angina pectoris.
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Supports long-acting glyceryl trinitrate for angina symptom control; confirms placebo-controlled efficacy in stable patients.
SummaryIn a double-blind crossover study of 15 patients with angina pectoris, a long-acting nitroglycerine preparation (‘Nitrocontin’) was compared against placebo. Patients received 2 tablets per day of either placebo or ‘Nitrocontin’ (6.4 mg. glvceryl trinitrate per tablet) for 4 weeks and were then crossed to the alternative preparation for a further 4 weeks. The results, as assessed by the number of attacks, consumption of glyceryl trinitrate sublingual tablets and patients' impression of improvement, showed that the active drug produced a significant reduction (p < 0.001) in the frequency of attacks. In a bicycle ergometric study, the long-acting preparation showed a signiJicant improvement (p < 0.001) in exercise performance against placebo.
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Hamid Ikram (1976) studied this question.
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