A double-blind randomized trial of propranolol and verapamil in the treatment of effort angina.

Abstract:

:In 18 patients with stable effort angina, verapamil, 80 mg four times daily, was compared with propranolol, 80 mg four times daily, in a double-blind, placebo-controlled trial to assess the effects on anginal threshold, exercise capacity and left ventricular function measured by gated equilibrium blood pool scanning. Both propranolol and verapamil improved exercise capacity (placebo 424 +/- 135 W-min; propranolol 513 +/- 168 W-min, p less than 0.01; verapamil 545 +/- 215 W-min, p less than 0.005) and prolonged the time to 1 mm of ST depression (placebo 4.5 +/- 1.3 minutes; propranolol 7.4 +/- 1.4 minutes, p less than 0.005; verapamil 6.6 +/- 1.9 minutes, p less than 0.005). At rest, the mean left ventricular ejection fraction did not change significantly during drug therapy (placebo 57 +/- 13%, propranolol 55 +/- 12%, verapamil 55 +/- 13%). While taking placebo, all 18 patients had a decrease in exercise ejection fraction. In contrast, 12 patients taking propranolol and 14 patients taking verapamil had a 5% or greater increase in ejection fraction during exercise. Verapamil is an effective primary therapy and a satisfactory alternative to propranolol in patients with stable effort angina.

journal_name

Circulation

journal_title

Circulation

authors

Sadick NN,Tan AT,Fletcher PJ,Morris J,Kelly DT

doi

10.1161/01.cir.66.3.574

subject

Has Abstract

pub_date

1982-09-01 00:00:00

pages

574-9

issue

3

eissn

0009-7322

issn

1524-4539

journal_volume

66

pub_type

临床试验,杂志文章,随机对照试验
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    更新日期:1990-01-01 00:00:00

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    更新日期:1993-02-01 00:00:00

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    pub_type: 杂志文章,评审

    doi:

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    更新日期:1991-12-01 00:00:00

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    更新日期:2017-09-19 00:00:00

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    更新日期:1996-09-15 00:00:00

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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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    更新日期:1990-07-01 00:00:00

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