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Correspondence
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Volume 331:1590-1591 December 8, 1994 Number 23
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Reduced Coronary Vasodilator Function after Myocardial Infarction

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 by Uren, N. G.
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To the Editor: Uren et al. (July 28 issue)1 conclude that the coronary vasodilator response is severely impaired after myocardial infarction, in both infarcted and uninfarcted myocardial regions. However, the results of their studies are complicated by other important changes that occur during and after myocardial infarction, which were not considered.

Dipyridamole is a basic, lipophilic drug that is extensively and avidly bound to serum protein and has a relatively high rate of clearance.2 At relevant concentrations, over 99 percent of dipyridamole is bound to {alpha}1-acid glycoprotein.2 Myocardial infarction causes dramatic (over twofold) time-dependent increases in the concentrations of this . . . [Full Text of this Article]

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