Abstract
Organic nitrates are widely used in the management of patients with angina pectoris, and with increasing frequency for load reduction in patients with impaired left-ventricular function [1, 2]. The usefulness of isosorbide dinitrate (ISDN) was initially called in question because of extensive first-pass metabolism in the liver; ISDN is rapidly metabolized to isosorbide-2-mononitrate (IS-2-MN) and isosorbide-5-mononitrate (IS-5-MN) [3].
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Tronconi, L., Raisaro, A., Recusani, F., Gazzaniga, P., Lanzarini, L. (1985). Efficacy of IS-5-MN (ISMO 20) in Patients with Coronary Artery Disease and Impaired Left-Ventricular Function. In: Cohn, J.N., Rittinghausen, R. (eds) Mononitrates. International Boehringer Mannheim Symposia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-70234-1_37
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DOI: https://doi.org/10.1007/978-3-642-70234-1_37
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