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Ambrosio G et al. – In this large multinational registry, chronic nitrate use was associated with a shift away from STEMI in favour of NSTE–ACS and with less release of markers of cardiac necrosis. These findings suggest that in nitrate users acute coronary events may develop to a smaller extent. Randomized, placebo–controlled trials are warranted to establish whether nitrate therapy may pharmacologically precondition the heart toward ischaemic episodes.


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