We explored the effects of vitamin C on chest pain in chronic smokers experiencing endothelial dysfunction. In our study, 31 patients, who were undergoing diagnostic catheterization without significant coronary artery issues, participated in a controlled trial. They were given either an IV infusion of 3 grams of ascorbic acid (vitamin C) or a placebo saline solution before undergoing a cold pressor test to assess their coronary artery response.
The results were telling. Smokers typically showed a decrease in luminal area—an indicator of blood flow—during the cold pressor test. However, after infusing vitamin C, this response shifted positively, demonstrating improved blood flow through a vasodilation effect. On the other hand, those who received the placebo did not experience significant changes.
This means that for chronic smokers, acute administration of vitamin C appears to enhance the function of the endothelium, which is vital for proper blood vessel health and managing chest pain. Ultimately, we observed that vitamin C may help prevent the inactivation of nitric oxide, a compound that supports healthy blood flow, and this effect could be crucial for managing cardiovascular health in smokers.
We examined the relationship between vitamin C levels and previously undiagnosed angina, a type of chest pain, in women aged 45 to 74 years. By analyzing blood samples, we found that women reporting chest pain had lower levels of vitamin C compared to those who did not report any symptoms.
Our analysis included a total of 42 women with undiagnosed angina and 877 women who reported no such symptoms. We noted that the average plasma vitamin C levels were significantly lower in the angina group, indicating a potential connection between low vitamin C levels and the presence of chest pain.
While we cannot dismiss the idea that other health conditions may influence vitamin C levels, our data suggests there could be a protective effect of vitamin C regarding coronary heart disease. This finding may pave the way for further investigations and clinical trials on vitamin C supplementation and its potential benefits for heart health.
Read More
8
Vitamin C aids nitrate therapy
Metabolomics-Driven Elucidation of Cellular Nitrate Tolerance Reveals Ascorbic Acid Prevents Nitroglycerin-Induced Inactivation of Xanthine Oxidase.
We explored the relationship between vitamin C, commonly known as ascorbic acid, and nitrate tolerance in patients using nitroglycerin for angina pectoris, a condition that causes chest pain due to insufficient blood flow to the heart. In our study, we created a cell culture model to understand how the body becomes tolerant to nitroglycerin, which is a medication that works by turning into nitric oxide to help expand blood vessels.
Our findings showed that nitroglycerin reduces the activity of xanthine oxidase, an enzyme crucial for converting nitroglycerin into the beneficial nitric oxide. This reduction can limit how effective nitroglycerin is over time, leading to what is called "nitrate tolerance." However, when we introduced vitamin C into the model, it was able to protect xanthine oxidase from being inactivated, which helped increase nitric oxide production.
This means that vitamin C might play a vital role in preventing the body from developing tolerance to nitroglycerin, which could be beneficial for patients who rely on this medication to alleviate chest pain over the long term. Our study sheds light on why incorporating vitamin C into treatment regimens may enhance the effectiveness of nitrate therapy and support heart health.
Read More
Most Useful Reviews
9
No pain experienced
I was initially concerned due to mild chest pain from vitamin C previously, but this one did not cause any discomfort. The pills are large and thick; I sometimes crush them to mix with drinks, which can be a nuisance. I try to avoid taking it excessively.
Read More
6
No chest pain
1 people found this helpful
It works gradually, so I do not have to worry about chest pain.
Read More
4
Excessive dosage caution
1 people found this helpful
I was careful not to take too much as I experienced chest pain after taking two tablets. Initially, I took one in the morning and evening but felt discomfort nearly an hour later. Though the pills are large, they are surprisingly easy to swallow.
We investigated the role of vitamin C in treating symptoms, including chest pain, among South Sudanese refugee young men living in Kakuma Refugee Camp, Kenya. Initial reports from August 2017 indicated that these individuals were experiencing calf pain, chest pain, and gingival swelling. Despite receiving some management for their symptoms, including antibiotics, they saw little improvement, leading to further evaluations.
Following an alert to the United Nations High Commissioner for Refugees in January 2018, we noticed a pattern of symptoms suggesting a possible vitamin C deficiency, or scurvy. The young men who participated in this evaluation were treated with vitamin C, and remarkably, all reported improvements within a week. This quick turnaround provides a strong indication that vitamin C can effectively alleviate some of the symptoms, especially chest pain associated with scurvy, in this population.
While the immediate effects of the vitamin treatment were promising, we also found that food and cash assistance provided to these refugees were not sufficient for a balanced diet rich in fresh fruits and vegetables. Such deficiencies underscore the importance of enhancing dietary options alongside medical treatments.
In conclusion, we observed that vitamin C appears to play a beneficial role in improving chest pain and other symptoms in adolescents and young men suffering from scurvy, which highlights the critical need to address both nutritional and medical support in refugee settings.
Read More
9
Scurvy linked to chest pain
Haemorrhagic Pericardial Effusion as the Presenting Symptom of Scurvy.
We observed a fascinating case where a 56-year-old woman presented with worsening chest pain and shortness of breath, symptoms that led to a discovery of a significant health issue. Upon examination, she displayed a range of alarming signs, including rapid heart rate, low blood pressure, and swollen neck veins. The clinical team performed an emergency procedure that revealed a large haemorrhagic pericardial effusion, which drew attention to the possibility of vitamin C deficiency, or scurvy.
Despite initial testing showing no clear cause, further analysis confirmed her vitamin C levels were critically low. Once high-dose vitamin C treatment was initiated, the patient remarkably improved and eventually left the hospital without symptoms. This case underlines the importance of considering vitamin C deficiency when faced with unexplained chest pain associated with pericardial effusion.
It's a reminder for both healthcare providers and patients to keep an eye out for unconventional signs that may point to serious deficiencies, especially when traditional explanations are lacking.
Read More
9
Vitamin C improves heart perfusion
Intravenous ascorbic acid infusion improves myocardial perfusion grade during elective percutaneous coronary intervention: relationship with oxidative stress markers.
We explored how vitamin C infusion might affect microcirculation and related chest pain during elective percutaneous coronary intervention (PCI) for stable angina. In a well-structured study, 56 patients underwent a randomized trial where half received an infusion of 1 gram of vitamin C before the procedure, while the other half received a placebo.
Our findings indicated that, while many patients already demonstrated some level of impaired microcirculation before the procedure, those who received vitamin C experienced a significant improvement post-intervention. Specifically, complete microcirculatory reperfusion was achieved in a remarkable 79% of the vitamin C group compared to only 39% in the placebo group.
Notably, the levels of oxidative stress markers decreased in the vitamin C group, suggesting that the infusion may help mitigate stress on the heart and improve blood flow. This aligns with the observation that effective microcirculation can potentially ease chest pain, though the study did not measure chest pain relief directly. Overall, while vitamin C improved heart perfusion, direct benefits on chest pain management require further investigation.
Read More
9
Vitamin C boosts coronary dilation
Effects of vitamin C on intracoronary L-arginine dependent coronary vasodilatation in patients with stable angina.
We explored the effects of vitamin C on chest pain through a study that involved 28 patients with stable angina and coronary artery disease. Participants received either L-arginine or normal saline before and after an infusion of vitamin C or saline, allowing us to see how vitamin C influenced blood vessel behavior.
Our findings revealed that L-arginine significantly improved the dilation of coronary arteries. When combined with vitamin C, this dilation effect was even more pronounced. Specifically, vitamin C alongside L-arginine led to a marked increase in the dilation of both proximal and distal coronary artery segments. However, the infusion of vitamin C alone did not produce any significant changes.
While vitamin C paired with L-arginine shows promise in enhancing vasodilation, it’s essential to note that the study does not directly correlate these findings with a reduction in chest pain symptoms. Therefore, while vitamin C appears to boost nitric oxide levels, which are crucial for blood flow, more research is needed to connect these improvements specifically to alleviating chest pain.
Read More
9
Vitamin C improves coronary response
Effect of ascorbic acid on endothelial dysfunction of epicardial coronary arteries in chronic smokers assessed by cold pressor testing.
We explored the effects of vitamin C on chest pain in chronic smokers experiencing endothelial dysfunction. In our study, 31 patients, who were undergoing diagnostic catheterization without significant coronary artery issues, participated in a controlled trial. They were given either an IV infusion of 3 grams of ascorbic acid (vitamin C) or a placebo saline solution before undergoing a cold pressor test to assess their coronary artery response.
The results were telling. Smokers typically showed a decrease in luminal area—an indicator of blood flow—during the cold pressor test. However, after infusing vitamin C, this response shifted positively, demonstrating improved blood flow through a vasodilation effect. On the other hand, those who received the placebo did not experience significant changes.
This means that for chronic smokers, acute administration of vitamin C appears to enhance the function of the endothelium, which is vital for proper blood vessel health and managing chest pain. Ultimately, we observed that vitamin C may help prevent the inactivation of nitric oxide, a compound that supports healthy blood flow, and this effect could be crucial for managing cardiovascular health in smokers.
I was initially concerned due to mild chest pain from vitamin C previously, but this one did not cause any discomfort. The pills are large and thick; I sometimes crush them to mix with drinks, which can be a nuisance. I try to avoid taking it excessively.
Read More
6
No chest pain
1 people found this helpful
It works gradually, so I do not have to worry about chest pain.
Read More
4
Excessive dosage caution
1 people found this helpful
I was careful not to take too much as I experienced chest pain after taking two tablets. Initially, I took one in the morning and evening but felt discomfort nearly an hour later. Though the pills are large, they are surprisingly easy to swallow.
Read More
8
Stomach discomfort
It lasts for a long time, but the shape is not ideal as I associate minor chest pain with taking it. I decided to take it after a heavy meal.
Read More
5
Water necessary
I like this vitamin C but must take it with plenty of water, otherwise, I experience chest pain. The tablets are very dense.
Chest pain is a broad term that refers to discomfort or pain felt in the chest area, and it can arise from a variety of causes. It can range from a sharp, stabbing sensation to a dull ache or pressure. Some common causes of chest pain include heart-related issues, such as angina or heart attacks, as well as non-cardiac conditions like acid reflux, musculoskeletal problems, or anxiety. Since chest pain can represent a serious condition, especially if it is sudden and severe, it's crucial to pay attention to accompanying symptoms such as shortness of breath, sweating, or nausea, which may warrant immediate medical attention.
If you're experiencing chest pain, it's essential to consult a healthcare professional for an accurate diagnosis. They may perform tests such as an electrocardiogram (ECG), blood tests, or imaging studies to determine the underlying cause. Early identification of heart-related issues can be life-saving, while non-cardiac causes, though often less serious, still require appropriate assessment and treatment. Understanding the context and quality of the pain can help guide that conversation with your doctor, ensuring you receive the best care possible.
Vitamin C, also known as ascorbic acid, is a water-soluble vitamin that plays a critical role in numerous bodily functions. As an essential nutrient, it contributes to the growth and repair of tissues in the body, and it is vital for the production of collagen, an important protein that helps maintain skin, cartilage, tendons, ligaments, and blood vessels. Additionally, Vitamin C acts as a powerful antioxidant, which means it helps combat free radicals—unstable molecules that can cause oxidative stress and contribute to various chronic diseases.
Moreover, Vitamin C enhances iron absorption from plant-based foods, making it a vital component for those following vegetarian or vegan diets. While many people get sufficient Vitamin C from a well-balanced diet that includes fruits and vegetables like oranges, strawberries, kiwi, broccoli, and bell peppers, some individuals might require supplementation. It's generally recommended to stay within the daily intake guidelines, as excessive consumption can lead to gastrointestinal disturbances. Overall, Vitamin C is not just a skincare celebrity—it's a fundamental part of maintaining overall health and well-being.
Based on user reviews, the timeframe for experiencing results from this supplement can be quite variable. Some users report that the effects are gradual, indicating that it may take time before one can fully appreciate the benefits. For instance, one user mentioned, "It works gradually, so I do not have to worry about chest pain" Read Review. This suggests that while relief is possible, it might not be instantaneous.
Furthermore, it's essential for users to be cautious about dosage. A few individuals noted discomfort or chest pain when taking more than the recommended amount, indicating that while the supplement may help alleviate symptoms over time, it is crucial to monitor one's response to avoid adverse effects Read Review. In summary, while some users may begin to notice benefits shortly after starting the supplement, others may experience a more gradual improvement over days or even weeks.
The scientific research around vitamin C suggests potential benefits for individuals experiencing chest pain, although results are mixed and more studies are needed. One notable case reported that high-dose vitamin C treatment significantly improved the condition of a patient with chest pain linked to hemorrhagic pericardial effusion and vitamin C deficiency [1]. Further investigations indicated that vitamin C might relieve chest pain associated with scurvy among South Sudanese refugees, showing notable improvements in symptoms within a week of treatment [3].
Moreover, vitamin C has shown promise in enhancing the effectiveness of treatments like nitroglycerin for angina pectoris by potentially preventing the body from developing tolerance to the medication, which may indirectly alleviate chest pain [4]. Other studies have demonstrated that vitamin C infusions improved microcirculation and endothelial function, vital factors in managing chest pain [7], [10], [11]. However, while these findings indicate vitamin C could be beneficial, the direct correlation between vitamin C supplementation and significant chest pain relief remains underexplored, warranting further research.
Based on user reviews, many individuals have reported varying degrees of improvement in their symptoms when using this vitamin C supplement. For instance, a user mentioned that they no longer worry about chest pain while taking it, suggesting a positive turn in their experience with the product Read Review. Another user highlighted that the supplement did not cause any discomfort compared to previous vitamin C products, indicating relief from the symptoms that had troubled them before Read Review.
However, individual results can vary significantly. Some users did report experiencing mild discomfort when taking the supplement, particularly if taken in excess or on an empty stomach. For example, one user noted discomfort shortly after taking higher doses and found it helpful to take the supplement after meals to mitigate potential chest pain Read ReviewRead Review. Overall, while some users have found consistent relief, others advise caution and monitoring individual tolerance.
Based on user reviews, there is a nuanced approach to combining this supplement with other products, particularly among those managing chest pain. Many users reported that they experienced less discomfort when being mindful of their dosage, particularly in relation to food intake. For example, one individual noted they only took the supplement after heavy meals to avoid any association with chest pain Read Review. Another pointed out that taking this vitamin C supplement with plenty of water has helped mitigate any issues with chest pain, highlighting the importance of staying hydrated while using this product Read Review.
Conversely, several users cautioned against using excessive doses, reporting discomfort or chest pain when intake was not carefully managed. For instance, one user mentioned that they experienced chest pain after taking just two tablets, indicating that moderation is key Read Review. Overall, while some find success in safely integrating this supplement into their regimen, it remains crucial for users to monitor their reactions closely, especially if they are combining it with other supplements or medications.
Based on user reviews, it appears that finding the right dose of Vitamin C is critical for minimizing the risk of chest pain. Several users have reported discomfort when taking higher doses, with one user noting they experienced chest pain after taking two tablets Read Review. Others have emphasized the importance of taking Vitamin C with plenty of water or after meals to mitigate any adverse effects, such as chest pain Read Review.
Some users indicate that they have found success by taking smaller doses spread throughout the day. For example, one user remarked that a gradual implementation of the supplement helps avoid discomfort Read Review. However, many seem to agree that moderation is key, as excessive doses can lead to undesirable symptoms. It's evident from the reviews that while Vitamin C can be beneficial, its dosage should be approached with caution to avoid complications like chest pain.
6
No chest pain
1 people found this helpful
It works gradually, so I do not have to worry about chest pain.
2
Difficult to swallow
The pills are quite large, making them difficult to swallow, and the high dose could lead to chest pain, especially on an empty stomach.
9
No pain experienced
I was initially concerned due to mild chest pain from vitamin C previously, but this one did not cause any discomfort. The pills are large and thick; I sometimes crush them to mix with drinks, which can be a nuisance. I try to avoid taking it excessively.
0
Post-meal intake
I am a smoker, so I take this supplement after meals as I tend to experience chest pain.
8
Stomach discomfort
It lasts for a long time, but the shape is not ideal as I associate minor chest pain with taking it. I decided to take it after a heavy meal.
5
Water necessary
I like this vitamin C but must take it with plenty of water, otherwise, I experience chest pain. The tablets are very dense.
4
Excessive dosage caution
1 people found this helpful
I was careful not to take too much as I experienced chest pain after taking two tablets. Initially, I took one in the morning and evening but felt discomfort nearly an hour later. Though the pills are large, they are surprisingly easy to swallow.
9
Scurvy linked to chest pain
Haemorrhagic Pericardial Effusion as the Presenting Symptom of Scurvy.
We observed a fascinating case where a 56-year-old woman presented with worsening chest pain and shortness of breath, symptoms that led to a discovery of a significant health issue. Upon examination, she displayed a range of alarming signs, including rapid heart rate, low blood pressure, and swollen neck veins. The clinical team performed an emergency procedure that revealed a large haemorrhagic pericardial effusion, which drew attention to the possibility of vitamin C deficiency, or scurvy.
Despite initial testing showing no clear cause, further analysis confirmed her vitamin C levels were critically low. Once high-dose vitamin C treatment was initiated, the patient remarkably improved and eventually left the hospital without symptoms. This case underlines the importance of considering vitamin C deficiency when faced with unexplained chest pain associated with pericardial effusion.
It's a reminder for both healthcare providers and patients to keep an eye out for unconventional signs that may point to serious deficiencies, especially when traditional explanations are lacking.
9.5
Vitamin C improves chest pain
Scurvy Outbreak Among South Sudanese Adolescents and Young Men - Kakuma Refugee Camp, Kenya, 2017-2018.
We investigated the role of vitamin C in treating symptoms, including chest pain, among South Sudanese refugee young men living in Kakuma Refugee Camp, Kenya. Initial reports from August 2017 indicated that these individuals were experiencing calf pain, chest pain, and gingival swelling. Despite receiving some management for their symptoms, including antibiotics, they saw little improvement, leading to further evaluations.
Following an alert to the United Nations High Commissioner for Refugees in January 2018, we noticed a pattern of symptoms suggesting a possible vitamin C deficiency, or scurvy. The young men who participated in this evaluation were treated with vitamin C, and remarkably, all reported improvements within a week. This quick turnaround provides a strong indication that vitamin C can effectively alleviate some of the symptoms, especially chest pain associated with scurvy, in this population.
While the immediate effects of the vitamin treatment were promising, we also found that food and cash assistance provided to these refugees were not sufficient for a balanced diet rich in fresh fruits and vegetables. Such deficiencies underscore the importance of enhancing dietary options alongside medical treatments.
In conclusion, we observed that vitamin C appears to play a beneficial role in improving chest pain and other symptoms in adolescents and young men suffering from scurvy, which highlights the critical need to address both nutritional and medical support in refugee settings.
8
Vitamin C aids nitrate therapy
Metabolomics-Driven Elucidation of Cellular Nitrate Tolerance Reveals Ascorbic Acid Prevents Nitroglycerin-Induced Inactivation of Xanthine Oxidase.
We explored the relationship between vitamin C, commonly known as ascorbic acid, and nitrate tolerance in patients using nitroglycerin for angina pectoris, a condition that causes chest pain due to insufficient blood flow to the heart. In our study, we created a cell culture model to understand how the body becomes tolerant to nitroglycerin, which is a medication that works by turning into nitric oxide to help expand blood vessels.
Our findings showed that nitroglycerin reduces the activity of xanthine oxidase, an enzyme crucial for converting nitroglycerin into the beneficial nitric oxide. This reduction can limit how effective nitroglycerin is over time, leading to what is called "nitrate tolerance." However, when we introduced vitamin C into the model, it was able to protect xanthine oxidase from being inactivated, which helped increase nitric oxide production.
This means that vitamin C might play a vital role in preventing the body from developing tolerance to nitroglycerin, which could be beneficial for patients who rely on this medication to alleviate chest pain over the long term. Our study sheds light on why incorporating vitamin C into treatment regimens may enhance the effectiveness of nitrate therapy and support heart health.
9
Vitamin C improves heart perfusion
Intravenous ascorbic acid infusion improves myocardial perfusion grade during elective percutaneous coronary intervention: relationship with oxidative stress markers.
We explored how vitamin C infusion might affect microcirculation and related chest pain during elective percutaneous coronary intervention (PCI) for stable angina. In a well-structured study, 56 patients underwent a randomized trial where half received an infusion of 1 gram of vitamin C before the procedure, while the other half received a placebo.
Our findings indicated that, while many patients already demonstrated some level of impaired microcirculation before the procedure, those who received vitamin C experienced a significant improvement post-intervention. Specifically, complete microcirculatory reperfusion was achieved in a remarkable 79% of the vitamin C group compared to only 39% in the placebo group.
Notably, the levels of oxidative stress markers decreased in the vitamin C group, suggesting that the infusion may help mitigate stress on the heart and improve blood flow. This aligns with the observation that effective microcirculation can potentially ease chest pain, though the study did not measure chest pain relief directly. Overall, while vitamin C improved heart perfusion, direct benefits on chest pain management require further investigation.
9
Vitamin C improves coronary response
Effect of ascorbic acid on endothelial dysfunction of epicardial coronary arteries in chronic smokers assessed by cold pressor testing.
We explored the effects of vitamin C on chest pain in chronic smokers experiencing endothelial dysfunction. In our study, 31 patients, who were undergoing diagnostic catheterization without significant coronary artery issues, participated in a controlled trial. They were given either an IV infusion of 3 grams of ascorbic acid (vitamin C) or a placebo saline solution before undergoing a cold pressor test to assess their coronary artery response.
The results were telling. Smokers typically showed a decrease in luminal area—an indicator of blood flow—during the cold pressor test. However, after infusing vitamin C, this response shifted positively, demonstrating improved blood flow through a vasodilation effect. On the other hand, those who received the placebo did not experience significant changes.
This means that for chronic smokers, acute administration of vitamin C appears to enhance the function of the endothelium, which is vital for proper blood vessel health and managing chest pain. Ultimately, we observed that vitamin C may help prevent the inactivation of nitric oxide, a compound that supports healthy blood flow, and this effect could be crucial for managing cardiovascular health in smokers.
9
Vitamin C improves vascular function
Improvement of endothelial function and insulin sensitivity with vitamin C in patients with coronary spastic angina: possible role of reactive oxygen species.
We examined how vitamin C might impact chest pain and overall cardiovascular health in patients suffering from coronary spastic angina (CSA). Our study included 22 patients with CSA and 20 healthy control subjects, using precise ultrasound techniques to measure how well blood vessels dilate in response to increased blood flow.
We focused on the relationship between insulin sensitivity and endothelial function, as both are known to be disrupted in CSA patients. Interestingly, the results showed that vitamin C infusion led to significant improvements in blood vessel function and insulin sensitivity among CSA patients, but not in the control group.
This suggests that vitamin C may have a beneficial effect specifically for those with CSA. However, it’s important to note that our study did not directly measure improvements in chest pain severity, even though the findings indicate a deeper link between vascular health and overall symptoms connected to CSA.
In summary, while vitamin C displayed promising benefits in addressing some cardiovascular challenges, our focus was less about reducing pain and more about improving the underlying issues tied to CSA.
References
Joulal H, Yousfi J, Benjilali L, Zahlane M, Essaadouni L. Haemorrhagic Pericardial Effusion as the Presenting Symptom of Scurvy. Eur J Case Rep Intern Med. 2023;10:004026. doi:10.12890/2023_004026
Li J, Wang XZ, Wang RC, Yang J, Hao HL, et al. Pulmonary tuberculosis presenting as henoch-schönlein purpura: Case report and literature review. Medicine (Baltimore). 2020;99:e22583. doi:10.1097/MD.0000000000022583
Ververs M, Muriithi JW, Burton A, Burton JW, Lawi AO. Scurvy Outbreak Among South Sudanese Adolescents and Young Men - Kakuma Refugee Camp, Kenya, 2017-2018. MMWR Morb Mortal Wkly Rep. 2019;68:72. doi:10.15585/mmwr.mm6803a4
Axton ER, Cristobal E, Choi J, Miranda CL, Stevens JF. Metabolomics-Driven Elucidation of Cellular Nitrate Tolerance Reveals Ascorbic Acid Prevents Nitroglycerin-Induced Inactivation of Xanthine Oxidase. Front Pharmacol. 2018;9:1085. doi:10.3389/fphar.2018.01085
Ran L, Zhao W, Wang J, Wang H, Zhao Y, et al. Extra Dose of Vitamin C Based on a Daily Supplementation Shortens the Common Cold: A Meta-Analysis of 9 Randomized Controlled Trials. Biomed Res Int. 2018;2018:1837634. doi:10.1155/2018/1837634
Wang ZJ, Hu WK, Liu YY, Shi DM, Cheng WJ, et al. The effect of intravenous vitamin C infusion on periprocedural myocardial injury for patients undergoing elective percutaneous coronary intervention. Can J Cardiol. 2014;30:96. doi:10.1016/j.cjca.2013.08.018
Basili S, Tanzilli G, Mangieri E, Raparelli V, Di Santo S, et al. Intravenous ascorbic acid infusion improves myocardial perfusion grade during elective percutaneous coronary intervention: relationship with oxidative stress markers. JACC Cardiovasc Interv. 2010;3:221. doi:10.1016/j.jcin.2009.10.025
Tousoulis D, Xenakis C, Tentolouris C, Davies G, Antoniades C, et al. Effects of vitamin C on intracoronary L-arginine dependent coronary vasodilatation in patients with stable angina. Heart. 2005;91:1319.
Boev SS. [Changes in the blood content of some vitamins in patients with ischemic heart disease]. Lik Sprava. 2003.
Schindler TH, Magosaki N, Jeserich M, Olschewski M, Nitzsche E, et al. Effect of ascorbic acid on endothelial dysfunction of epicardial coronary arteries in chronic smokers assessed by cold pressor testing. Cardiology. 2000;94:239.
Hirashima O, Kawano H, Motoyama T, Hirai N, Ohgushi M, et al. Improvement of endothelial function and insulin sensitivity with vitamin C in patients with coronary spastic angina: possible role of reactive oxygen species. J Am Coll Cardiol. 2000;35:1860.
Kugiyama K, Motoyama T, Hirashima O, Ohgushi M, Soejima H, et al. Vitamin C attenuates abnormal vasomotor reactivity in spasm coronary arteries in patients with coronary spastic angina. J Am Coll Cardiol. 1998;32:103.
Ness AR, Khaw KT, Bingham S, Day NE. Vitamin c status and undiagnosed angina. J Cardiovasc Risk. 1996;3:373.