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Design
Review
Highlights a mechanistic pathway for nitrate tolerance that should not yet alter prescribing; leaves open whether targeted antioxidant therapies.
Identification of nitric oxide as the molecule responsible for endothelial dependant vasodilatation has led to an explosion of interest in endothelial function. Oxidative stress has been identified as an important factor in the development of tolerance to organic nitrates. This review examines the evidence supporting this recently developed theory and how mechanisms of nitrate tolerance may link with the wider picture of primary nitric oxide resistance.
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Fayers et al. (2003) studied this question.
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