C++ Live Sound Control

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In C++ compiled with Visual Studio 2008 or 2010, am looking for a way to play a note on an instrument and then be able to change the pitch of that note (i.e. from a C to a D), its volume, and even the instrument that plays it in a program.

I know this sounds a lot like MIDI, but I'm not sure how to accomplish it. I would be fine or even prefer using a 3rd party program such as CSound, but again don't know how and cannot figure it out.

Thanks in advance for your help!

Edit: Using CSound is easy, but how do I control CSound through Visual Studio?

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You need a C++ music synthesizer framework, such as:

playback through soundcard is possible with (I think) all of them.