EFFECT OF DILTIAZEM SLOW-RELEASE FORMULATION ON SILENT-MYOCARDIAL-ISCHEMIA IN STABLE CORONARY-ARTERY DISEASE

被引:14
作者
JUNEAU, M
THEROUX, P
WATERS, D
机构
[1] Department of Medicine, Montreal Heart Institute, Montreal, Que.
关键词
D O I
10.1016/0002-9149(92)91347-7
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Silent myocardial ischemia is associated with adverse outcome in several subsets of coronary artery disease patients. This article presents results of a placebo-controlled, randomized, double-blind study of the effects of sustained-release diltiazem (180 mg twice daily) on ischemic episodes in 60 patients with documented coronary artery disease. The mean age of the study population was 60 years and 93% were male. The mean number of episodes of silent ischemia per patient was 5.6 (placebo) and 2.8 (diltiazem), a 50% reduction (p < 0.0001). Duration of ST-segment depression was 119 minutes (placebo) and 67 minutes (diltiazem), a 44% reduction (p < 0.001). This study demonstrates that sustained-release diltiazem can significantly reduce the frequency and total duration of silent ischemic episodes.
引用
收藏
页码:B30 / B35
页数:6
相关论文
共 20 条
[1]  
BONETTI F, 1989, European Heart Journal, V10, P53
[2]  
CHIERCHIA S, 1987, AM J CARDIOL, V60, pA36
[3]   THE NIFEDIPINE-TOTAL ISCHEMIA AWARENESS PROGRAM - A NATIONAL SURVEY OF PAINFUL AND PAINLESS MYOCARDIAL ISCHEMIA INCLUDING RESULTS OF ANTIISCHEMIC THERAPY [J].
COHN, PF ;
VETROVEC, GW ;
NESTO, R ;
GERBER, FR .
AMERICAN JOURNAL OF CARDIOLOGY, 1989, 63 (09) :534-539
[4]   NIFEDIPINE AND PROPRANOLOL - A BENEFICIAL DRUG-INTERACTION [J].
DARGIE, HJ ;
LYNCH, PG ;
KRIKLER, DM ;
HARRIS, L ;
KRIKLER, S .
AMERICAN JOURNAL OF MEDICINE, 1981, 71 (04) :676-682
[6]  
FENG JZ, 1990, AM J CARDIOL, V65, pJ32
[7]   DILTIAZEM, NIFEDIPINE, AND THEIR COMBINATION IN PATIENTS WITH STABLE ANGINA-PECTORIS - EFFECTS ON ANGINA, EXERCISE TOLERANCE, AND THE AMBULATORY ELECTROCARDIOGRAPHIC ST-SEGMENT [J].
FRISHMAN, W ;
CHARLAP, S ;
KIMMEL, B ;
TEICHER, M ;
CINNAMON, J ;
ALLEN, L ;
STROM, J .
CIRCULATION, 1988, 77 (04) :774-786
[8]   EFFECTS OF TITRATED BETA-BLOCKADE (METOPROLOL) ON SILENT-MYOCARDIAL-ISCHEMIA IN AMBULATORY PATIENTS WITH CORONARY-ARTERY DISEASE [J].
IMPERI, GA ;
LAMBERT, CR ;
COY, K ;
LOPEZ, L ;
PEPINE, CJ ;
SHEPHARD, C .
AMERICAN JOURNAL OF CARDIOLOGY, 1987, 60 (07) :519-524
[9]   EFFECT OF DILTIAZEM AND PROPRANOLOL ON MYOCARDIAL-ISCHEMIA DURING UNRESTRICTED DAILY LIFE IN PATIENTS WITH EFFORT-INDUCED CHRONIC STABLE ANGINA-PECTORIS [J].
KHURMI, NS ;
OHARA, MJ ;
BOWLES, MJ ;
RAFTERY, EB .
EUROPEAN JOURNAL OF CLINICAL PHARMACOLOGY, 1987, 32 (05) :443-447
[10]   EFFECT OF PROPRANOLOL ON INDEXES OF INTERMITTENT MYOCARDIAL-ISCHEMIA, ASSESSED BY EXERCISE TESTING AND AMBULATORY ST-SEGMENT MONITORING [J].
KHURMI, NS ;
BOWLES, MJ ;
OHARA, MJ ;
RAFTERY, EB .
CLINICAL CARDIOLOGY, 1986, 9 (08) :391-397