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钙拮抗剂伊拉地平治疗心绞痛的疗效。

Efficacy of the calcium antagonist isradipine in angina pectoris.

作者信息

Parker J O, Enjalbert M, Bernstein V

机构信息

Department of Medicine, Queen's University, Kingston, Ontario, Canada.

出版信息

Cardiovasc Drugs Ther. 1988 Mar;1(6):661-4. doi: 10.1007/BF02125752.

DOI:10.1007/BF02125752
PMID:2978997
Abstract

Thirty-six patients with chronic, stable angina pectoris were studied during 2-week treatment periods in which they received, in a randomized double-blind, crossover study, a new calcium entry blocking agent, isradipine, 7.5 mg three times daily or placebo. Antianginal efficacy was determined by treadmill exercise testing carried out 3 and 9 hours after drug administration on the final day of each treatment period. During placebo therapy, treadmill exercise time to the onset of angina (P1) and to the development of moderate angina (P2) was similar at 3 and 9 hours and similar to the placebo run-in period. During isradipine therapy, treadmill exercise time 3 hours after dosing was greater than with placebo therapy (P1 312 +/- 23.0 vs. 267 +/- 19.5 seconds, p less than 0.001; P2 410 +/- 20.2 vs. 355 +/- 18.8 seconds, p less than 0.002). Nine hours after drug administration, the results of exercise testing were similar to placebo.

摘要

在为期2周的治疗期间,对36例慢性稳定型心绞痛患者进行了研究。在随机双盲交叉研究中,他们接受了一种新型钙通道阻滞剂伊拉地平,每日3次,每次7.5毫克,或安慰剂。抗心绞痛疗效通过在每个治疗期最后一天给药后3小时和9小时进行的平板运动试验来确定。在安慰剂治疗期间,在3小时和9小时时,达到心绞痛发作(P1)和中度心绞痛发作(P2)的平板运动时间与安慰剂导入期相似。在伊拉地平治疗期间,给药后3小时的平板运动时间比安慰剂治疗时长(P1 312±23.0秒对267±19.5秒,p<0.001;P2 410±20.2秒对355±18.8秒,p<0.002)。给药9小时后,运动试验结果与安慰剂相似。

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BMJ. 1996 Mar 30;312(7034):827-32.
2
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Calcium channel antagonists. Part V: Second-generation agents.

本文引用的文献

1
Provocative testing with ergonovine to assess the efficacy of treatment with nifedipine, diltiazem and verapamil in variant angina.用麦角新碱进行激发试验,以评估硝苯地平、地尔硫䓬和维拉帕米治疗变异型心绞痛的疗效。
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Randomized double-blind comparison of verapamil and nifedipine in chronic stable angina.维拉帕米与硝苯地平治疗慢性稳定型心绞痛的随机双盲对照研究
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The additive antianginal action of oral nifedipine in patients receiving propranolol: magnitude and duration of effect.
钙通道拮抗剂。第五部分:第二代药物。
Cardiovasc Drugs Ther. 1988 Jul;2(2):191-203. doi: 10.1007/BF00051234.
4
Calcium channel antagonists: Part VI: Clinical pharmacokinetics of first and second-generation agents.钙通道拮抗剂:第六部分:第一代和第二代药物的临床药代动力学
Cardiovasc Drugs Ther. 1989 Aug;3(4):482-97. doi: 10.1007/BF01865507.
口服硝苯地平对接受普萘洛尔治疗患者的附加抗心绞痛作用:效果的强度和持续时间。
Circulation. 1982 Oct;66(4):710-6. doi: 10.1161/01.cir.66.4.710.
4
The effects of calcium channel blocking agents on cardiovascular function.钙通道阻滞剂对心血管功能的影响。
Am J Cardiol. 1982 Feb 18;49(3):547-53. doi: 10.1016/s0002-9149(82)80010-6.
5
Nifedipine in unstable angina: a double-blind, randomized trial.硝苯地平治疗不稳定型心绞痛:一项双盲随机试验
N Engl J Med. 1982 Apr 15;306(15):885-9. doi: 10.1056/NEJM198204153061501.
6
Efficacy of diltiazem in angina on effort: a multicenter trial.地尔硫䓬对劳力性心绞痛的疗效:一项多中心试验。
Am J Cardiol. 1982 Feb 18;49(3):567-72. doi: 10.1016/s0002-9149(82)80013-1.
7
Role of calcium antagonists in the treatment of essential hypertension.钙拮抗剂在原发性高血压治疗中的作用。
Circ Res. 1983 Feb;52(2 Pt 2):I174-81.
8
Verapamil and propranolol in essential hypertension.维拉帕米与普萘洛尔治疗原发性高血压
Clin Pharmacol Ther. 1984 Dec;36(6):750-8. doi: 10.1038/clpt.1984.253.
9
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