Abstract
In 14 beta-blockaded anginal subjects, 10 of whom had poor left ventricular function, sublingual isosorbide dinitrate significantly increased maximal exercise capacity on a standardized multistage treadmill test. This was associated with changes in heart rate and blood pressure suggestive of a fall in left ventricular work. The effect of isosorbide lasts for at least two hours and when taken before exercise may be a useful addition to beta-blockade in patients with angina.
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- Aronow W. S., Kaplan M. A. Propranolol combined with isosorbide dinitrate versus placebo in angina pectoris. N Engl J Med. 1969 Apr 17;280(16):847–850. doi: 10.1056/NEJM196904172801601. [DOI] [PubMed] [Google Scholar]
- Becker L. C., Fortuin N. J., Pitt B. Effect of ischemia and antianginal drugs on the distribution of radioactive microspheres in the canine left ventricle. Circ Res. 1971 Feb;28(2):263–269. doi: 10.1161/01.res.28.2.263. [DOI] [PubMed] [Google Scholar]
- Bruce R. A., Kusumi F., Hosmer D. Maximal oxygen intake and nomographic assessment of functional aerobic impairment in cardiovascular disease. Am Heart J. 1973 Apr;85(4):546–562. doi: 10.1016/0002-8703(73)90502-4. [DOI] [PubMed] [Google Scholar]
- GILLAM P. M., PRICHARD B. N. USE OF PROPRANOLOL IN ANGINA PECTORIS. Br Med J. 1965 Aug 7;2(5457):337–339. doi: 10.1136/bmj.2.5457.337. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jackson G., Atkinson L., Oram S. Reassessment of failed beta-blocker treatment in angina pectoris by peak-exercise heart rate measurements. Br Med J. 1975 Sep 13;3(5984):616–618. doi: 10.1136/bmj.3.5984.616. [DOI] [PMC free article] [PubMed] [Google Scholar]
- KEELAN P. DOUBLE-BLIND TRIAL OF PROPRANOLOL (INDERAL) IN ANGINA PECTORIS. Br Med J. 1965 Apr 3;1(5439):897–898. doi: 10.1136/bmj.1.5439.897. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kasparian H., Wiener L., Duca P. R., Gottlieb R. S., Brest A. N. Comparative hemodynamic effects of placebo and oral isosorbide dinitrate in patients with significant coronary artery disease. Am Heart J. 1975 Jul;90(1):68–74. doi: 10.1016/0002-8703(75)90258-6. [DOI] [PubMed] [Google Scholar]
- McAnulty J. H., Hattenhauer M. T., Rösch J., Kloster F. E., Rahimtoola S. H. Improvement in left ventricular wall motion following nitroglycerin. Circulation. 1975 Jan;51(1):140–145. doi: 10.1161/01.cir.51.1.140. [DOI] [PubMed] [Google Scholar]
- Reddy S. P., Curtiss E. I., O'Toole J. D., Matthews R. G., Salerni R., Leon D. F., Shaver J. A. Reversibility of left ventricular asynergy by nitroglycerin in coronary artery disease. Am Heart J. 1975 Oct;90(4):479–486. doi: 10.1016/0002-8703(75)90430-5. [DOI] [PubMed] [Google Scholar]
- Wiener L., Dwyer E. M., Jr, Cox J. W. Hemodynamic effects of nitroglycerin, propranolol, and their combination in coronary heart disease. Circulation. 1969 May;39(5):623–632. doi: 10.1161/01.cir.39.5.623. [DOI] [PubMed] [Google Scholar]
- Willis W. H., Jr, Russell R. O., Jr, Mantle J. A., Ratshin R. A., Rackley C. E. Hemodynamic effects of isosorbide dinitrate vs nitroglycerin in patients with unstable angina. Chest. 1976 Jan;69(1):15–22. doi: 10.1378/chest.69.1.15. [DOI] [PubMed] [Google Scholar]
- Zeft H. J., Patterson S., Orgain E. S. The effect of propranolol in the long-term treatment of angina pectoris. Arch Intern Med. 1969 Nov;124(5):578–583. [PubMed] [Google Scholar]