A specific a, agonist, mivazerol, known to be effective in reducing myocard
ial ischaemia when given intravenously immediately before an exercise toler
ance test, produced a significant increase in exercise duration and time to
the onset of angina when given orally over a two week period to 25 patient
s with stable angina. A non-significant trend to reduction in electrocardio
graphic signs of ischaemia was also noted. The clinical relevance of this i
mprovement now needs to be tested in larger numbers.