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rdf:type | |
lifeskim:mentions | |
pubmed:dateCreated |
1990-1-8
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pubmed:abstractText |
The favorable response to nitrates in the case of coronary heart diseases is based on both reduction in left ventricular pre- and afterload and improvement in coronary flow. These effects were studied in the setting of a long-term ISDN therapy with reference to the prognosis of patients after myocardial infarction. Following acute treatment in the respective hospitals, 608 patients with myocardial infarctions were allocated to two double-blind treatment groups with different ISDN dosage levels (group 1 = 5 x 2.5 mg i.d.; group 2 = 5 x 40 mg i.d.) and followed up over a period of 2 years. No differences were found with regard to the end points sudden cardiac death, reinfraction, and indication for revascularization. There was, however, a more frequent additional administration of calciumantagonists to patients of the low-dose group (p less than 0.05), a more frequent drop-out due to the lack of beneficial therapeutic results, and a more exceptional drop-out due to side effects in patients treated with low doses of ISDN (n.s.). The absence of any significant difference with regard to the end points might be attributed to; 1) a loss of potency of high-dose ISDN and simultaneous ineffectiveness of low-dose ISDN; 2) an efficacy of low doses; 3) an absence of actual influence on the target parameters, and 4) an inadequate follow-up time period.
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pubmed:language |
ger
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0300-5860
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
78 Suppl 2
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
122-6; discussion 142-4
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2511684-Coronary Circulation,
pubmed-meshheading:2511684-Dose-Response Relationship, Drug,
pubmed-meshheading:2511684-Double-Blind Method,
pubmed-meshheading:2511684-Female,
pubmed-meshheading:2511684-Humans,
pubmed-meshheading:2511684-Isosorbide Dinitrate,
pubmed-meshheading:2511684-Long-Term Care,
pubmed-meshheading:2511684-Male,
pubmed-meshheading:2511684-Middle Aged,
pubmed-meshheading:2511684-Myocardial Infarction,
pubmed-meshheading:2511684-Prognosis,
pubmed-meshheading:2511684-Recurrence,
pubmed-meshheading:2511684-Survival Rate
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pubmed:year |
1989
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pubmed:articleTitle |
[Long-term therapy following myocardial infarct with isosorbide dinitrate in a low and high dose].
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pubmed:affiliation |
Zentrum der Inneren Medizin, J.-W.-Goethe-Universität Frankfurt am Main.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
English Abstract,
Controlled Clinical Trial,
Research Support, Non-U.S. Gov't
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