Evidence map›Paper›PMID 26316714›Full record

ReviewDrug design, development and therapy2015

Role of short-acting nitroglycerin in the management of ischemic heart disease.

William E Boden, Santosh K Padala, Katherine P Cabral, Ivo R Buschmann, Mandeep S Sidhu

Open access · goldAbstract readReview
In one paragraph

Review in Drug design, development and therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
4.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Repurposing nitric oxide donating drugs in cancer therapy through immune modulation.Journal of experimental & clinical cancer research : CR · 2023
    Article
  8. Observational
  9. Article
  10. Article
  11. Acute effects of sublingual nitroglycerin on cardiovagal and sympathetic baroreflex sensitivity.American journal of physiology. Regulatory, integrative and comparative physiology · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 2 countries.

William E BodenDepartment of Medicine, Division of Cardiology, Albany Medical College, Albany, NY, USA ; Department of Medicine, Division of Cardiology, Albany Stratton Veterans Affairs Medical Center, Albany, NY, USA ; Department of Medicine, Division of Cardiology, Albany Medical Center, Albany, NY, USA.
Santosh K PadalaDepartment of Medicine, Division of Cardiology, Albany Medical College, Albany, NY, USA ; Department of Medicine, Division of Cardiology, Albany Stratton Veterans Affairs Medical Center, Albany, NY, USA ; Department of Medicine, Division of Cardiology, Albany Medical Center, Albany, NY, USA.
Katherine P CabralDepartment of Pharmacy, Albany College Pharmacy and Health Sciences, Albany, NY, USA.
Ivo R BuschmannDepartment of Angiology, Medical University of Brandenburg & Charité, Berlin, Germany.
Mandeep S SidhuDepartment of Medicine, Division of Cardiology, Albany Medical College, Albany, NY, USA ; Department of Medicine, Division of Cardiology, Albany Stratton Veterans Affairs Medical Center, Albany, NY, USA ; Department of Medicine, Division of Cardiology, Albany Medical Center, Albany, NY, USA.
Albany Medical Center Hospital · USAlbany College of Pharmacy and Health Sciences · USCharité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nitroglycerin is the oldest and most commonly prescribed short-acting anti-anginal agent; however, despite its long history of therapeutic usage, patient and health care provider education regarding the clinical benefits of the short-acting formulations in patients with angina remains under-appreciated. Nitrates predominantly induce vasodilation in large capacitance blood vessels, increase epicardial coronary arterial diameter and coronary collateral blood flow, and impair platelet aggregation. The potential for the prophylactic effect of short-acting nitrates remains an under-appreciated part of optimal medical therapy to reduce angina and decrease myocardial ischemia, thereby enhancing the quality of life. Short-acting nitroglycerin, administered either as a sublingual tablet or spray, can complement anti-anginal therapy as part of optimal medical therapy in patients with refractory and recurrent angina either with or without myocardial revascularization, and is most commonly used to provide rapid therapeutic relief of acute recurrent angina attacks. When administered prophylactically, both formulations increase angina-free walking time on treadmill testing, abolish or delay ST segment depression, and increase exercise tolerance. The sublingual spray formulation provides several clinical advantages compared to tablet formulations, including a lower incidence of headache and superiority to the sublingual tablet in terms of therapeutic action and time to onset, while the magnitude and duration of vasodilatory action appears to be comparable. Furthermore, the sublingual spray formulation may be advantageous to tablet preparations in patients with dry mouth. This review discusses the efficacy and utility of short-acting nitroglycerin (sublingual spray and tablet) therapy for both preventing and aborting an acute angina attack, thereby leading to an improved quality of life.

Indexed as

Administration, SublingualAerosolsAnimalsChemistry, PharmaceuticalCoronary CirculationExercise ToleranceHumansMyocardial IschemiaNitroglycerinPractice Guidelines as TopicTabletsTime FactorsTreatment OutcomeVasodilationVasodilator AgentsAerosolsNitroglycerinTabletsVasodilator Agentsanginacoronary artery diseasenitroglycerin spraynitroglycerin sublingual tabletsoptimal medical therapy

Identifiers

PMID26316714
PMCPMC4548722
OpenAlexW1825751492

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.