Pharmacology · single question

What is the mechanism of action of nitroglycerin?

  1. Releases nitric oxide → vasodilation of coronary arteries
  2. Blocks calcium channels in the heart
  3. Inhibits beta-adrenergic receptors
  4. Blocks sodium channels in myocardium
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Correct answer: A. Releases nitric oxide → vasodilation of coronary arteries

Nitroglycerin is metabolized to nitric oxide (NO), which activates guanylate cyclase → increases cGMP → smooth muscle relaxation → vasodilation of coronary arteries, reducing cardiac preload and relieving angina. It does NOT block calcium channels (that's CCBs) or beta receptors (beta-blockers) or sodium channels.

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