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PredicateObject
rdf:type
lifeskim:mentions
pubmed:dateCreated
2005-11-21
pubmed:abstractText
This study was a multicenter, double-blind comparison of the antianginal efficacy and safety of amlodipine and placebo as adjunctive therapy with constant recommended maintenance doses of beta-blockers. Patients with stable exertional angina pectoris were randomized to placebo or amlodipine at a starting dose of 5 mg once daily. The amlodipine dose was adjusted to 10 mg daily after 2 weeks if angina attacks were not abolished. Antianginal efficacy was assessed throughout the study with angina diaries, investigators' and patients' global evaluations, and with bicycle exercise tests during a placebo run-in period (baseline) and after 2 and 6 weeks of double-blind treatment. On baseline-final analysis, the exercise time to angina onset increased by 13% with amlodipine compared to 6% with placebo (p < 0.05). The total exercise time increased by 11% on amlodipine compared with 2% on placebo, though this difference did not reach statistical significance. Angina attack frequency and nitroglycerin consumption were both reduced by adding amlodipine to beta-blocker treatment. Amlodipine in combination with beta-blocker therapy was well tolerated, with a low incidence of side effects and laboratory test abnormalities. The study showed clearly that addition of amlodipine to beta-blocker therapy in patients with stable angina pectoris was well tolerated and gave improved antianginal efficacy.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:issn
0160-2446
pubmed:author
pubmed:issnType
Print
pubmed:volume
17 Suppl 1
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
S50-2
pubmed:dateRevised
2008-11-21
pubmed:meshHeading
pubmed-meshheading:16296710-Adolescent, pubmed-meshheading:16296710-Adrenergic beta-Antagonists, pubmed-meshheading:16296710-Adult, pubmed-meshheading:16296710-Aged, pubmed-meshheading:16296710-Amlodipine, pubmed-meshheading:16296710-Angina Pectoris, pubmed-meshheading:16296710-Calcium Channel Blockers, pubmed-meshheading:16296710-Double-Blind Method, pubmed-meshheading:16296710-Drug Therapy, Combination, pubmed-meshheading:16296710-Exercise Test, pubmed-meshheading:16296710-Female, pubmed-meshheading:16296710-Humans, pubmed-meshheading:16296710-Male, pubmed-meshheading:16296710-Middle Aged, pubmed-meshheading:16296710-Nitroglycerin, pubmed-meshheading:16296710-Physical Exertion, pubmed-meshheading:16296710-Severity of Illness Index, pubmed-meshheading:16296710-Time Factors, pubmed-meshheading:16296710-Treatment Outcome, pubmed-meshheading:16296710-Vasodilator Agents
pubmed:year
1991
pubmed:articleTitle
A 6-week double-blind comparison of amlodipine and placebo in patients with stable exertional angina pectoris receiving concomitant beta-blocker therapy.
pubmed:affiliation
Med. Univ. Klinik, Graz, Austria.
pubmed:publicationType
Journal Article, Comparative Study, Randomized Controlled Trial, Multicenter Study