Abstract
One hundred and thirty-one male patients admitted to a coronary care unit with myocardial infarction, later confirmed, were randomly allocated to receive either 10 mg diazepam every six hours, or a matched placebo, for 48 hours. During this period, no differences were found between the treatment groups in the incidence of fatal or non-fatal tachyarrhythmias even when account was taken of differences in the severity of the initial infarct. Monitored blood pressure and heart rate data were comparable as were the patients' self-assessed anxiety levels and symptoms, except that drowsiness was more common in the patients treated with diazepam.
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Selected References
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- Abel R. M., Reis R. L., Staroscik R. N. Corory vasodilatation following diazepam (Valium). Br J Pharmacol. 1970 May;38(3):620–631. doi: 10.1111/j.1476-5381.1970.tb10604.x. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cassem N. H., Hackett T. P. Psychiatric consultation in a coronary care unit. Ann Intern Med. 1971 Jul;75(1):9–14. doi: 10.7326/0003-4819-75-1-9. [DOI] [PubMed] [Google Scholar]
- Clark C. J., Downie C. C. A method for the rapid determination of the number of patients to include in a controlled clinical trial. Lancet. 1966 Dec 17;2(7477):1357–1358. doi: 10.1016/s0140-6736(66)92098-8. [DOI] [PubMed] [Google Scholar]
- Davison R., Brandfonbrener M. Treatment of acute myocardial infarction. Ration Drug Ther. 1973 Sep;7(9):1–5. [PubMed] [Google Scholar]
- Hackett T. P., Casem N. H., Wishnie H. Detection and treatment of anxiety in the coronary care unit. Am Heart J. 1969 Dec;78(6):727–730. doi: 10.1016/0002-8703(69)90438-4. [DOI] [PubMed] [Google Scholar]
- Ikram H., Rubin A. P., Jewkes R. F. Effect of diazepam on myocardial blood flow of patients with and without coronary artery disease. Br Heart J. 1973 Jun;35(6):626–630. doi: 10.1136/hrt.35.6.626. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Lown B., Fakhro A. M., Hood W. B., Jr, Thorn G. W. The coronary care unit. New perspectives and directions. JAMA. 1967 Jan 16;199(3):188–198. [PubMed] [Google Scholar]
- Melsom M., Andreassen P., Melsom H., Hansen T., Grendahl H., Hillestad L. K. Diazepam in acute myocardial infarction. Clinical effects and effects on catecholamines, free fatty acids, and cortisol. Br Heart J. 1976 Aug;38(8):804–810. doi: 10.1136/hrt.38.8.804. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Peel A. A., Semple T., Wang I., Lancaster W. M., Dall J. L. A CORONARY PROGNOSTIC INDEX FOR GRADING THE SEVERITY OF INFARCTION. Br Heart J. 1962 Nov;24(6):745–760. doi: 10.1136/hrt.24.6.745. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Spracklen F. H., Chambers R. J., Schrire V. Value of diazepam ('Valium') in treatment of cardiac arrhythmias. Br Heart J. 1970 Nov;32(6):827–832. doi: 10.1136/hrt.32.6.827. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Townshend M. M., Smith A. J. Factors influencing the urinary excretion of free catecholamines in man. Clin Sci. 1973 Mar;44(3):253–265. doi: 10.1042/cs0440253. [DOI] [PubMed] [Google Scholar]
- VINCENT W. R., RAPAPORT E. SERUM CREATINE PHOSPHOKINASE IN THE DIAGNOSIS OF ACUTE MYOCARDIAL INFARCTION. Am J Cardiol. 1965 Jan;15:17–26. doi: 10.1016/0002-9149(65)90596-5. [DOI] [PubMed] [Google Scholar]
- Van Loon G. R. Ventricular arrhythmias treated by diazepam. Can Med Assoc J. 1968 Apr 20;98(16):785–787. [PMC free article] [PubMed] [Google Scholar]
- WEIL-MALHERBE H., BONE A. D. The adrenergic amines of human blood. Lancet. 1953 May 16;1(6768):974–977. doi: 10.1016/s0140-6736(53)92117-5. [DOI] [PubMed] [Google Scholar]
