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The Effect of the Calcium-Antagonistic Drug Nifedipine on Coronary and Left Ventricular Dynamics in Patients with Coronary Heart Disease

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Calcium-Antagonismus

Abstract

The antianginal effect of the so-called “calcium-antagonistic„ drugs has been demonstrated beyond doubt through numerous clinical studies [1]. However, their mode of action, both with regard to coronary and left ventricular as well as peripheral dynamics, still needs further analysis. Various “calcium-antagonists” are in clinical use today. The investigations reported here were performed exclusively with Nifedipine, the calcium antagonist with the strongest action on the coronary system and on left ventricular hemodynamics among those accepted for clinical use. Accordingly, mainly two problems are discussed: the effect of Nifedipine on the coronary system, and its action on left ventricular hemodynamics.

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References

  1. Ebner F, Dünnschede DHB (1976) Hemodynamics, therapeutic mechanism of action and clinical findings of adalat use based on world-wide clinical trails. In: Jatene AD, Lichtlen PR (eds) Third international adalat symposium. New therapy of ischemic heart disease. Excerpta Medica, Amsterdam Oxford, p 283

    Google Scholar 

  2. Lichtlen PR, Engel H-J, Hundeshagen H (1978) Clinical application and results of the assessment of coronary blood flow by the regional precordial Xenon residue detection technique. Nucl Med 17:161

    CAS  Google Scholar 

  3. Engel H-J, Lichtlen PR, Hundeshagen H (1977) Effects of coronary obstructions and segmental LV dysfunction on regional myocardial blood flow. Circulation 55/56:111–10

    Google Scholar 

  4. Lichtlen P, Engel H-J, Amende I, Rafflenbeul W, Simon R (1976) Mechanisms of various antianginal drugs. Relationship between regional flow behaviour and contractility. In: Jatene AD, Lichtlen PR (eds) Third international adalat symposium. New therapy of ischemic heart disease. Excerpta Medica, Amsterdam Oxford, p 14

    Google Scholar 

  5. Kaltenbach M, Schultz W, Kober G (1979) Effects of Nifedipine after intravenous and intracoronary administration. Am J Cardiol 44:832

    Article  PubMed  CAS  Google Scholar 

  6. Lichtlen P (1975) Coronary and left ventricular dynamics under nifedipine in comparison to nitrates, betablocking agents and dipyridamole. In: Lochner W, Braasch W, Kroneberg G (eds) Second international adalat symposium. New therapy of ischemic heart disease. Springer, Berlin Heidelberg New York, p 212

    Google Scholar 

  7. Lichtlen P, Moccetti T, Halter J, Schönbeck M, Senning A (1972) Postoperative evaluation of myocardial blood flow in aorta-to-coronary artery vein bypass grafts using the xenon residue detection technique. Circulation 46:445

    PubMed  CAS  Google Scholar 

  8. Wolf R, Pretschner BP, Engel H-J, Hundeshagen H, Lichtlen P (1979) Die Wirkung von Isosorbiddinitrat auf die belastungsinduzierte abnorme Myokardperfusion bei koronarer Herzkrankheit, objektiviert anhand der 201 Thallium-Belastungs-Szintigraphie. Z Kardiol 68:676

    PubMed  CAS  Google Scholar 

  9. Karliner JS, Gault JH, Eckberg D, Mullins ChB, Ross J (1971) Mean velocity of fiber shortening. A simplified measure of left ventricular myocardial contractility. Circulation 44:323

    PubMed  CAS  Google Scholar 

  10. Simon R, Amende I, Lichtlen P (1979) Das linksventrikuläre Angiogramm. In: Lichtlen, PR (ed) Koronarangiographie. Straube, Erlangen, p 249

    Google Scholar 

  11. Seipel L (1978) His-Bündel-Elektrokardiographie und intrakardiale Stimulation. Thieme, Stuttgart

    Google Scholar 

  12. Nayler WG, Fassold E, Yepez C (to be published) The pharmacological protection of mitochondrial function in hypoxic heart muscles. Effect of verapamil, propranolol and methylprednisolon. Cardiovasc Res

    Google Scholar 

  13. Henry PD (to be published) Chronotropic and inotropic effects of coronary vasodilators. In: International Adalat Panel Discussion, Tokio, Sept. 20, 1978

    Google Scholar 

  14. Clark RE, Henry PD (to be published) Protection of ischemic myocardium by nifedipine. In: International Adalat Panel Discussion, Tokio, Sept. 20, 1978

    Google Scholar 

  15. Engel H-J, Hundeshagen H, Lichtlen P (1978) Regionale Myokarddurchblutung bei koronarer Herzkrankheit — Auswirkung des Stenosegrades und der poststenotischen Ventrikelfunktion. Z Kardiol 67:205

    Google Scholar 

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© 1980 Springer-Verlag Berlin-Heidelberg

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Lichtlen, P.R., Engel, HJ., Wolf, R., Amende, I. (1980). The Effect of the Calcium-Antagonistic Drug Nifedipine on Coronary and Left Ventricular Dynamics in Patients with Coronary Heart Disease. In: Fleckenstein, A., Roskamm, H. (eds) Calcium-Antagonismus. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-67595-9_28

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  • DOI: https://doi.org/10.1007/978-3-642-67595-9_28

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-67596-6

  • Online ISBN: 978-3-642-67595-9

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