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Nitrate Tolerance
• Decreased biotransformation or activity of nitric
oxide (NO)
• Counterregulatory mechanisms including
neurohormonal activation and plasma volume
expansion
• GTN increases MMP activity
• Survival after MI is worst in pts treated with
nitrates
Nitrate tolerance
Nitrate tolerance

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Nitrate tolerance

  • 1. Nitrate Tolerance • Decreased biotransformation or activity of nitric oxide (NO) • Counterregulatory mechanisms including neurohormonal activation and plasma volume expansion • GTN increases MMP activity • Survival after MI is worst in pts treated with nitrates