A double-blind comparison of the long-term efficacy of a potassium channel opener and a calcium antagonist in stable angina pectoris.

Abstract:

:The efficacies and safety of nicorandil, 20 mg b.d., and diltiazem, 60 mg t.d., in the treatment of stable angina pectoris were compared in a double-blind randomized parallel group study involving 123 patients. The duration of the study was 3 months. Exercise tolerance tests were performed by the patients when on placebo (day 0) and at the end of the study period (day 90). Both groups were comparable at day 0 in terms of demography and cardiovascular status. Nicorandil and diltiazem were both found to decrease the frequency of anginal attacks and the consumption of nitroglycerin tablets (P < 0.01). Maximum exercise capacity, the amount of work that could be performed before reaching ischaemic threshold, and the amount of work required to reach onset of angina were significantly increased for both groups of patients on day 90 compared with day 0 (increase in maximum exercise capacity: nicorandil--6.9 +/- 18.9 kj, diltiazem--9.6 +/- 16.2 kj, P = 0.44 ns; increase in work to ischaemic threshold: nicorandil--9.4 +/- 18.1 kJ, diltiazem--14.7 +/- 15.4 kJ, P = 0.10 ns; increase in work to onset of angina: nicorandil--10.0 +/- 20.1 kJ, diltiazem--11.4 +/- 14.9 kJ, P = 0.68 ns). Differences between the two groups were not significant. The double product of systolic blood pressure x heart rate and peak exercise for both drugs was either unchanged or slightly decreased at ischaemic threshold.(ABSTRACT TRUNCATED AT 250 WORDS)

journal_name

Eur Heart J

journal_title

European heart journal

authors

Guermonprez JL,Blin P,Peterlongo F

doi

10.1093/eurheartj/14.suppl_b.30

subject

Has Abstract

pub_date

1993-07-01 00:00:00

pages

30-4

eissn

0195-668X

issn

1522-9645

journal_volume

14 Suppl B

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:2006-02-01 00:00:00

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    pub_type: 临床试验,杂志文章,随机对照试验

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    更新日期:2014-02-01 00:00:00

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    更新日期:2019-09-01 00:00:00

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    更新日期:2002-08-01 00:00:00

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    更新日期:2000-02-01 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章

    doi:

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    更新日期:1988-02-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/eurheartj/11.suppl_b.139

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    更新日期:1990-04-01 00:00:00

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    pub_type: 杂志文章

    doi:10.1093/oxfordjournals.eurheartj.a061465

    authors: Kutti J,Johansson S,Eriksson KA,Sigvaldason A,Vedin A,Wadenvik H,Wilhelmsson C

    更新日期:1983-05-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1995-10-01 00:00:00

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    更新日期:1995-08-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:2019-07-01 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章

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    更新日期:2002-04-01 00:00:00

  • Restenosis and adverse clinical events after successful percutaneous mitral valvuloplasty: immediate post-procedural mitral valve area as an important prognosticator.

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    journal_title:European heart journal

    pub_type: 杂志文章

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    pub_type: 杂志文章

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    journal_title:European heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

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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

    doi:10.1093/oxfordjournals.eurheartj.a060182

    authors: Schoenenberger RA,Ménat L,Weiss P,Marbet GA,Ritz R

    更新日期:1992-03-01 00:00:00

  • Beneficial effects of chronic low-frequency stimulation of thigh muscles in patients with advanced chronic heart failure.

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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

    doi:10.1016/j.ehj.2003.09.027

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    更新日期:2004-01-01 00:00:00

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    journal_title:European heart journal

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1093/eurheartj/ehy451

    authors: Byrd JB,Newby DE,Anderson JA,Calverley PMA,Celli BR,Cowans NJ,Crim C,Martinez FJ,Vestbo J,Yates J,Brook RD,SUMMIT Investigators.

    更新日期:2018-09-01 00:00:00

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    abstract::Among 369 patients with native valve infective endocarditis observed during a 14-year period, 17 were related to S: pneumoniae. Fourteen of them were observed in the last 7 years. At the time of admission 13 exhibited purulent meningitis, 6 of them being comatose. An apparent portal of entry was present in 13 patients...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/5.suppl_c.77

    authors: Wolff M,Regnier B,Witchitz S,Gibert C,Amoudry C,Vachon F

    更新日期:1984-10-01 00:00:00

  • Molecular signature of cardiogenic shock.

    abstract::The incidence of cardiogenic shock (CS) has increased remarkably over the past decade and remains a challenging condition with mortality rates of ∼50%. Cardiogenic shock encompasses cardiac contractile dysfunction; however, it is also a multiorgan dysfunction syndrome, often complicated by a systemic inflammatory resp...

    journal_title:European heart journal

    pub_type: 杂志文章

    doi:10.1093/eurheartj/ehz783

    authors: Iborra-Egea O,Rueda F,García-García C,Borràs E,Sabidó E,Bayes-Genis A

    更新日期:2020-10-14 00:00:00

  • Infarct size, left ventricular function, and prognosis in women compared to men after primary percutaneous coronary intervention in ST-segment elevation myocardial infarction: results from an individual patient-level pooled analysis of 10 randomized trial

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    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/eurheartj/ehx159

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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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