Comparative effects of calcium entry-blocking drugs, beta-blocking drugs, and their combination in patients with chronic stable angina.

Abstract:

:For monotherapy, beta-blockers and calcium-entry blockers are effective and safe antianginal medications. For prophylaxis of myocardial ischemia, a different mechanism of action for each class of drugs is reflected by the different heart rate and rate-pressure product during exercise. In patients who continue to have anginal symptoms despite adequate beta-blockade, further alleviation of symptoms together with an increase in exercise tolerance may be observed with the addition of a calcium-entry blocker. Of note is the individual patient response to the various calcium-entry blockers when combined with propranolol. Although of theoretic concern with combination therapy, no deleterious effect on left ventricular function or increased adverse clinical effects were noted in our studies. Combination therapy with beta-blockers and calcium-entry blockers is well tolerated, effective, and safe both over the short and long term in patients with exertional angina.

journal_name

Circulation

journal_title

Circulation

authors

Kostuk WJ,Pflugfelder P

subject

Has Abstract

pub_date

1987-06-01 00:00:00

pages

V114-21

issue

6 Pt 2

eissn

0009-7322

issn

1524-4539

journal_volume

75

pub_type

临床试验,杂志文章
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    pub_type: 杂志文章

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    pub_type: 杂志文章

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    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

    doi:

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    pub_type: 杂志文章,meta分析,评审

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  • Pulmonary hyperinflation and left ventricular mass: the Multi-Ethnic Study of Atherosclerosis COPD Study.

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    pub_type: 杂志文章

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    更新日期:2000-05-23 00:00:00

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    pub_type: 杂志文章

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:10.1161/01.cir.98.8.794

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    更新日期:1998-08-25 00:00:00

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    pub_type: 杂志文章

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    更新日期:1992-02-01 00:00:00

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    journal_title:Circulation

    pub_type: 杂志文章

    doi:

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    更新日期:1984-09-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1161/01.cir.67.5.968

    authors: Hubert HB,Feinleib M,McNamara PM,Castelli WP

    更新日期:1983-05-01 00:00:00

  • Cardiac histological substrate in patients with clinical phenotype of Brugada syndrome.

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    pub_type: 杂志文章

    doi:10.1161/CIRCULATIONAHA.105.520999

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    pub_type: 临床试验,杂志文章,多中心研究

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    pub_type: 临床试验,杂志文章

    doi:10.1161/01.cir.54.4.656

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    pub_type: 杂志文章,meta分析

    doi:10.1161/CIRCULATIONAHA.107.752147

    authors: Daemen J,Boersma E,Flather M,Booth J,Stables R,Rodriguez A,Rodriguez-Granillo G,Hueb WA,Lemos PA,Serruys PW

    更新日期:2008-09-09 00:00:00