Effects of ranolazine on exercise tolerance and HbA1c in patients with chronic angina and diabetes.

Abstract:

AIMS:The anti-anginal efficacy and safety of ranolazine in diabetic and non-diabetic patients included in the Combination Assessment of Ranolazine In Stable Angina (CARISA) trial (JAMA 2004;291:309) were studied. Glycaemic control was also assessed in CARISA and its long-term open-label extension study. METHODS AND RESULTS:Patients with chronic angina enrolled in CARISA (189 with diabetes, 634 without diabetes) on background atenolol, diltiazem, or amlodipine therapy were randomized to placebo, ranolazine 750 or 1000 mg twice daily for 12 weeks, during which exercise tolerance, angina frequency, nitroglycerin usage, glucose, HbA(1c), and lipids were measured. Patients completing the randomized study could enroll in an ongoing open-label extension study and were evaluated every 3 months. Ranolazine produced similar improvements in exercise parameters, nitroglycerin use, and angina frequency in diabetic and non-diabetic patients. Adverse events were similar between groups. Fasting glucose and lipids remained unaltered in diabetic patients after 12 weeks of therapy. In a post hoc analysis, ranolazine 750 and 1000 mg reduced HbA(1c) vs. placebo by 0.48+/-0.18% (P=0.008) and 0.70+/-0.18% (P=0.0002), respectively; the HbA(1c) levels appeared to remain unchanged over time during long-term therapy. CONCLUSION:Anti-anginal efficacy and safety of ranolazine for angina were similar between diabetic and non-diabetic patients. Ranolazine significantly improved glycaemic control in diabetic patients.

journal_name

Eur Heart J

journal_title

European heart journal

authors

Timmis AD,Chaitman BR,Crager M

doi

10.1093/eurheartj/ehi495

subject

Has Abstract

pub_date

2006-01-01 00:00:00

pages

42-8

issue

1

eissn

0195-668X

issn

1522-9645

pii

ehi495

journal_volume

27

pub_type

杂志文章,多中心研究,随机对照试验
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    更新日期:2021-01-04 00:00:00

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    pub_type: 杂志文章

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    更新日期:1997-12-01 00:00:00

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    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    更新日期:2000-11-01 00:00:00

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    pub_type: 杂志文章,随机对照试验

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    更新日期:2006-07-01 00:00:00

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    pub_type: 杂志文章,多中心研究

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    更新日期:2005-11-01 00:00:00

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    journal_title:European heart journal

    pub_type: 临床试验,杂志文章,随机对照试验

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    pub_type: 杂志文章,多中心研究,随机对照试验

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    pub_type: 杂志文章

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    更新日期:2007-06-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1985-04-01 00:00:00

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    journal_title:European heart journal

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

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    pub_type: 杂志文章,多中心研究,随机对照试验

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    pub_type: 临床试验,杂志文章

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    更新日期:1996-01-01 00:00:00

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    doi:10.1093/eurheartj/12.8.924

    authors: Flapan AD,Davies E,Waugh C,Williams BC,Shaw TR,Edwards CR

    更新日期:1991-08-01 00:00:00

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    pub_type: 杂志文章

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    authors: de Servi S,Mussini A,Angoli L,Ferrario M,Bramucci E,Gavazzi A,Ghio S,Ardissino D,Specchia G

    更新日期:1985-03-01 00:00:00

  • Electrophysiological abnormalities precede overt structural changes in arrhythmogenic right ventricular cardiomyopathy due to mutations in desmoplakin-A combined murine and human study.

    abstract:AIMS:Anecdotal observations suggest that sub-clinical electrophysiological manifestations of arrhythmogenic right ventricular cardiomyopathy (ARVC) develop before detectable structural changes ensue on cardiac imaging. To test this hypothesis, we investigated a murine model with conditional cardiac genetic deletion of ...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehr472

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