Nicardipine, a new calcium channel blocker: role for vascular selectivity.

Abstract:

:Calcium channel blockers are important drugs for the treatment of chronic stable angina. However, negative inotropic and dromotropic effects may limit their usefulness in patients with atrioventricular conduction abnormalities or left ventricular dysfunction. A new generation of calcium channel blockers will soon be available that have a more vascular selective action than currently available agents. Of the new agents, nicardipine has been most extensively studied. In experimental studies, nicardipine is more specific for vascular smooth muscle than for cardiac smooth muscle and for coronary than peripheral vasculature. In controlled trials, nicardipine exhibited efficacy and safety that was comparable to older calcium blockers or beta blockers. However, nicardipine was associated with minimal negative inotropic or dromotropic effects even in patients with existing left ventricular dysfunction. Thus, nicardipine may have an advantage over existing calcium channel blockers, especially in patients with underlying cardiac disease.

journal_name

Clin Cardiol

journal_title

Clinical cardiology

authors

Pepine C

doi

10.1002/clc.4960120503

subject

Has Abstract

pub_date

1989-05-01 00:00:00

pages

240-6

issue

5

eissn

0160-9289

issn

1932-8737

journal_volume

12

pub_type

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