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PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
1992-3-18
pubmed:abstractText
We screened the antiischemic, hemodynamic, and inotropic effects of different dosages of the new calcium channel blocker Ro 40-5967 in 65 patients with stable effort-induced angina pectoris. In a double-blind way, patients were randomized to recieve a single oral dose of 50, 100, or 200 mg Ro 40-5967 or placebo, given as a drinking solution. Left ventricular ejection fraction (LVEF), blood pressure (BP), and heart rate (HR) were measured at rest and during a supine bicycle exercise test on day 0 (baseline) and 2 h after drug intake on day 1. Twenty-four hours later, the bicycle exercise test was repeated. Ro 40-5967 improved exercise duration and resting LVEF. After 200 mg, exercise time increased significantly from 8.4 +/- 0.8 min (mean +/- SEM) to 9.6 +/- 0.7 min (p = 0.018), and LVEF at rest increased from 54.5 +/- 2.2 to 58.1 +/- 2.6% (p = 0.045). Time to 0.1 mV ST-segment depression increased significantly from 4.3 +/- 0.8 to 5.5 +/- 0.9 min in the 100-mg group (p = 0.013) and from 4.3 +/- 1.3 to 5.4 +/- 1.5 min in the 200-mg group (p = 0.027). Maximum ST-segment depression decreased significantly at all dose levels (p = 0.01), with the maximum decrease noted in the 200-mg group (from 0.21 +/- 0.03 to 0.15 +/- 0.02 mV, p = 0.004). BP, HR, and rate-pressure product did not change significantly at rest or at maximum exercise. A single dose of Ro 40-5967 has antiischemic properties in patients with stable angina pectoris, with maximum effects obtained after 200 mg. No signs of negative inotropy were noted, and the drug was well tolerated.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0160-2446
pubmed:author
pubmed:issnType
Print
pubmed:volume
18
pubmed:owner
NLM
pubmed:authorsComplete
N
pubmed:pagination
746-51
pubmed:dateRevised
2004-11-17
pubmed:meshHeading
pubmed-meshheading:1723772-Adult, pubmed-meshheading:1723772-Aged, pubmed-meshheading:1723772-Angina Pectoris, pubmed-meshheading:1723772-Benzimidazoles, pubmed-meshheading:1723772-Blood Pressure, pubmed-meshheading:1723772-Calcium Channel Blockers, pubmed-meshheading:1723772-Coronary Disease, pubmed-meshheading:1723772-Depression, Chemical, pubmed-meshheading:1723772-Double-Blind Method, pubmed-meshheading:1723772-Electrocardiography, pubmed-meshheading:1723772-Erythrocytes, pubmed-meshheading:1723772-Exercise Test, pubmed-meshheading:1723772-Female, pubmed-meshheading:1723772-Heart Rate, pubmed-meshheading:1723772-Humans, pubmed-meshheading:1723772-Male, pubmed-meshheading:1723772-Mibefradil, pubmed-meshheading:1723772-Middle Aged, pubmed-meshheading:1723772-Myocardial Contraction, pubmed-meshheading:1723772-Radionuclide Ventriculography, pubmed-meshheading:1723772-Tetrahydronaphthalenes, pubmed-meshheading:1723772-Ventricular Function, Left
pubmed:year
1991
pubmed:articleTitle
Lack of negative inotropic effects of the new calcium antagonist Ro 40-5967 in patients with stable angina pectoris.
pubmed:affiliation
University Hospital Groningen, The Netherlands.
pubmed:publicationType
Journal Article, Clinical Trial, Randomized Controlled Trial