Skip to main content
British Journal of Clinical Pharmacology logoLink to British Journal of Clinical Pharmacology
. 1985;20(Suppl 1):178S–186S. doi: 10.1111/j.1365-2125.1985.tb05162.x

Nicardipine for stable angina pectoris

S Scheidt, M M Lewinter, J Hermanovich, K Venkataraman, D Freedman
PMCID: PMC1400796  PMID: 3927958

Abstract

1 Nicardipine, 30 and 40 mg thrice daily, was administered to 66 patients with stable angina pectoris in a multicentre, randomised, double-blind, cross-over trial.

2 With nicardipine therapy, duration of exercise and cumulative oxygen consumption increased, while times to onset of angina and 1 mm ST segment depression were prolonged.

3 Anginal frequency and nitroglycerin consumption declined with use of nicardipine, but this did not reach statistical significance.

4 Resting heart rate increased slightly and resting blood pressure decreased.

5 Two patients on nicardipine and one on placebo sustained acute infarction. Otherwise, side effects were generally mild and transient.

Keywords: nicardipine, placebo comparison, stable angina, treadmill exercise

Full text

PDF
178S

Selected References

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

  1. Braunwald E. Mechanism of action of calcium-channel-blocking agents. N Engl J Med. 1982 Dec 23;307(26):1618–1627. doi: 10.1056/NEJM198212233072605. [DOI] [PubMed] [Google Scholar]
  2. Brodsky S. J., Cutler S. S., Weiner D. A., McCabe C. H., Ryan T. J., Klein M. D. Treatment of stable angina of effort with verapamil: a double-blind, placebo-controlled randomized crossover study. Circulation. 1982 Sep;66(3):569–574. doi: 10.1161/01.cir.66.3.569. [DOI] [PubMed] [Google Scholar]
  3. Ellrodt G., Chew C. Y., Singh B. N. Therapeutic implications of slow-channel blockade in cardiocirculatory disorders. Circulation. 1980 Oct;62(4):669–679. doi: 10.1161/01.cir.62.4.669. [DOI] [PubMed] [Google Scholar]
  4. FAM W. M., MCGREGOR M. EFFECT OF CORONARY VASODILATOR DRUGS ON RETROGRADE FLOW IN AREAS OF CHRONIC MYOCARDIAL ISCHEMIA. Circ Res. 1964 Oct;15:355–364. doi: 10.1161/01.res.15.4.355. [DOI] [PubMed] [Google Scholar]
  5. Fleckenstein A. Specific pharmacology of calcium in myocardium, cardiac pacemakers, and vascular smooth muscle. Annu Rev Pharmacol Toxicol. 1977;17:149–166. doi: 10.1146/annurev.pa.17.040177.001053. [DOI] [PubMed] [Google Scholar]
  6. Ginsburg R., Bristow M. R., Harrison D. C., Stinson E. B. Studies with isolated human coronary arteries. Some general observations, potential mediators of spasm, role of calcium antagonists. Chest. 1980 Jul;78(1 Suppl):180–186. [PubMed] [Google Scholar]
  7. Henry P. D. Comparative pharmacology of calcium antagonists: nifedipine, verapamil and diltiazem. Am J Cardiol. 1980 Dec 1;46(6):1047–1058. doi: 10.1016/0002-9149(80)90366-5. [DOI] [PubMed] [Google Scholar]
  8. Hossack K. F., Pool P. E., Steele P., Crawford M. H., DeMaria A. N., Cohen L. S., Ports T. A. Efficacy of diltiazem in angina on effort: a multicenter trial. Am J Cardiol. 1982 Feb 18;49(3):567–572. doi: 10.1016/s0002-9149(82)80013-1. [DOI] [PubMed] [Google Scholar]
  9. 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]
  10. Jariwalla A. G., Anderson E. G. Production of ischaemic cardiac pain by nifedipine. Br Med J. 1978 May 6;1(6121):1181–1182. doi: 10.1136/bmj.1.6121.1181. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Kurnik P. B., Tiefenbrunn A. J., Ludbrook P. A. The dependence of the cardiac effects of nifedipine on the responses of the peripheral vascular system. Circulation. 1984 May;69(5):963–972. doi: 10.1161/01.cir.69.5.963. [DOI] [PubMed] [Google Scholar]
  12. Moskowitz R. M., Piccini P. A., Nacarelli G. V., Zelis R. Nifedipine therapy for stable angina pectoris: preliminary results of effects on angina frequency and treadmill exercise response. Am J Cardiol. 1979 Oct 22;44(5):811–816. doi: 10.1016/0002-9149(79)90202-9. [DOI] [PubMed] [Google Scholar]
  13. Mueller H. S., Chahine R. A. Interim report of multicenter double-blind, placebo-controlled studies of nifedipine in chronic stable angina. Am J Med. 1981 Oct;71(4):645–657. doi: 10.1016/0002-9343(81)90229-1. [DOI] [PubMed] [Google Scholar]
  14. Stone P. H., Antman E. M., Muller J. E., Braunwald E. Calcium channel blocking agents in the treatment of cardiovascular disorders. Part II: Hemodynamic effects and clinical applications. Ann Intern Med. 1980 Dec;93(6):886–904. doi: 10.7326/0003-4819-93-6-886. [DOI] [PubMed] [Google Scholar]
  15. Warltier D. C., Gross G. J., Brooks H. L. Coronary steal-induced increase in myocardial infarct size after pharmacologic coronary vasodilation. Am J Cardiol. 1980 Jul;46(1):83–90. doi: 10.1016/0002-9149(80)90609-8. [DOI] [PubMed] [Google Scholar]
  16. Weintraub W. S., Hattori S., Agarwal J., Bodenheimer M. M., Banka V. S., Helfant R. H. Variable effect of nifedipine on myocardial blood flow at three grades of coronary occlusion in the dog. Circ Res. 1981 Jun;48(6 Pt 1):937–942. doi: 10.1161/01.res.48.6.937. [DOI] [PubMed] [Google Scholar]
  17. Weintraub W. S., Hattori S., Akizuki S., Agarwal J. B., Bodenheimer M. M., Banka V. S., Helfant R. H. Influence of nifedipine on collateral blood flow during acute ischemia in the dog. J Am Coll Cardiol. 1984 Feb;3(2 Pt 1):334–340. doi: 10.1016/s0735-1097(84)80017-0. [DOI] [PubMed] [Google Scholar]

Articles from British Journal of Clinical Pharmacology are provided here courtesy of British Pharmacological Society

RESOURCES