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. 1985;20(Suppl 1):187S–194S. doi: 10.1111/j.1365-2125.1985.tb05163.x

Prevention of vasospastic angina with nicardipine

C J Pepine, J S Gelman
PMCID: PMC1400780  PMID: 3896281

Abstract

1 Anti-ischaemic effects and safety of nicardipine were assessed in 14 patients with vasospastic angina using a placebo comparison, cross-over design study for 8-13 weeks.

2 The average daily dose of nicardipine for optimal angina prevention was 84 mg (range 40-160 mg).

3 Nicardipine administration, as compared with placebo, significantly reduced anginal frequency and nitroglycerin consumption during the single- and double-blind phases of the study.

4 Nicardipine appears to be effective in the prevention of vasospastic angina and not to cause major adverse effects.

Keywords: calcium blockers, coronary spasm, dihydropyridine derivatives, rest angina

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Antman E., Muller J., Goldberg S., MacAlpin R., Rubenfire M., Tabatznik B., Liang C. S., Heupler F., Achuff S., Reichek N. Nifedipine therapy for coronary-artery spasm. Experience in 127 patients. N Engl J Med. 1980 Jun 5;302(23):1269–1273. doi: 10.1056/NEJM198006053022301. [DOI] [PubMed] [Google Scholar]
  2. Hill J. A., Feldman R. L., Pepine C. J., Conti C. R. Randomized double-blind comparison of nifedipine and isosorbide dinitrate in patients with coronary arterial spasm. Am J Cardiol. 1982 Feb 1;49(2):431–438. doi: 10.1016/0002-9149(82)90521-5. [DOI] [PubMed] [Google Scholar]
  3. Hopf R., Becker H. J., Kober G., Dowinsky S., Kaltenbach M. Therapie der Angina pectoris mit Calcium-Antagonisten. Herz. 1982 Aug;7(4):221–234. [PubMed] [Google Scholar]
  4. Iliopoulou A., Turner P., Warrington S. J. Acute haemodynamic effects of a new calcium antagonist, nicardipine, in man. A comparison with nifedipine. Br J Clin Pharmacol. 1983 Jan;15(1):59–65. doi: 10.1111/j.1365-2125.1983.tb01464.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Jones R. I., Hornung R. S., Sonecha T., Raftery E. B. The effect of a new calcium channel blocker nicardipine on 24-hour ambulatory blood pressure and the pressor response to isometric and dynamic exercise. J Hypertens. 1983 Jun;1(1):85–89. [PubMed] [Google Scholar]
  6. Lette J., Gagnon R. M., Lemire J. G., Morissette M. Rebound of vasospastic angina after cessation of long-term treatment with nifedipine. Can Med Assoc J. 1984 May 1;130(9):1169-71, 1174. [PMC free article] [PubMed] [Google Scholar]
  7. Pepine C. J., Conti C. R. Calcium blockers in coronary heart disease. Part II. Mod Concepts Cardiovasc Dis. 1981 Dec;50(12):67–72. [PubMed] [Google Scholar]
  8. Pepine C. J., Feldman R. L., Hill J. A., Conti C. R., Mehta J., Hill C., Scott E. Clinical outcome after treatment of rest angina with calcium blockers: comparative experience during the initial year of therapy with diltiazem, nifedipine, and verapamil. Am Heart J. 1983 Dec;106(6):1341–1347. doi: 10.1016/0002-8703(83)90043-1. [DOI] [PubMed] [Google Scholar]
  9. Pepine C. J., Feldman R. L., Whittle J., Curry R. C., Conti C. R. Effect of diltiazem in patients with variant angina: a randomized double-blind trial. Am Heart J. 1981 Jun;101(6):719–725. doi: 10.1016/0002-8703(81)90606-2. [DOI] [PubMed] [Google Scholar]
  10. Rosenthal S. J., Ginsburg R., Lamb I. H., Baim D. S., Schroeder J. S. Efficacy of diltiazem for control of symptoms of coronary arterial spasm. Am J Cardiol. 1980 Dec 1;46(6):1027–1032. doi: 10.1016/0002-9149(80)90362-8. [DOI] [PubMed] [Google Scholar]
  11. Schanzenbächer P., Deeg P., Liebau G., Kochsiek K. Paradoxical angina after nifedipine: angiographic documentation. Am J Cardiol. 1984 Jan 15;53(2):345–346. doi: 10.1016/0002-9149(84)90458-2. [DOI] [PubMed] [Google Scholar]
  12. Stone P. H., Muller J. E., Turi Z. G., Geltman E., Jaffe A. S., Braunwald E. Efficacy of nifedipine therapy in patients with refractory angina pectoris: significance of the presence of coronary vasospasm. Am Heart J. 1983 Oct;106(4 Pt 1):644–652. doi: 10.1016/0002-8703(83)90081-9. [DOI] [PubMed] [Google Scholar]
  13. Taylor S. H., Silke B., Ahuja R. C., Okoli R. Influence of nicardipine on the blood pressure at rest and on the pressor responses to cold, isometric exertion, and dynamic exercise in hypertensive patients. J Cardiovasc Pharmacol. 1982 Sep-Oct;4(5):803–807. doi: 10.1097/00005344-198209000-00016. [DOI] [PubMed] [Google Scholar]

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