Fox K M, Jespersen C M, Ferrari R, Rehnqvist N
Department of Cardiology, Royal Brompton Hospital, London, U.K.
Eur Heart J. 1997 Jan;18 Suppl A:A113-6. doi: 10.1093/eurheartj/18.suppl_a.113.
Some 100 European cardiologists discussed calcium antagonists' role in the management of stable angina. Sixty-two percent of those involved used calcium antagonists rather than beta-blockers as first line therapy; 46% were prepared to use calcium antagonists in patients who had had a myocardial infarction more than 6 months previously. Only one tenth would use calcium antagonists in angina patients with left ventricular dysfunction. There was a broad preference for the use of heart rate-moderating calcium antagonists in most forms of stable angina. The discussions also underlined the diagnostic importance of angiography, exercise testing and lipid profile analysis.
约100名欧洲心脏病专家讨论了钙拮抗剂在稳定型心绞痛治疗中的作用。参与讨论者中有62%将钙拮抗剂而非β受体阻滞剂作为一线治疗药物；46%准备在心肌梗死6个月以上的患者中使用钙拮抗剂。只有十分之一的人会在左心室功能不全的心绞痛患者中使用钙拮抗剂。对于大多数形式的稳定型心绞痛，普遍倾向于使用减慢心率的钙拮抗剂。讨论还强调了血管造影、运动试验和血脂分析在诊断中的重要性。
