PMID- 8465772 OWN - NLM STAT- MEDLINE DCOM- 19930504 LR - 20190626 IS - 0002-8703 (Print) IS - 0002-8703 (Linking) VI - 125 IP - 4 DP - 1993 Apr TI - Additional antianginal efficacy of amiodarone in patients with limiting angina pectoris. PG - 996-1001 AB - Sixty-three patients with stable angina New York Heart Association (NYHA) class III and a positive stress test despite triple therapy were randomized to a double-blind protocol, receiving either placebo or amiodarone in a dose of 600 mg/day for 10 days, followed by 400 mg/day for an additional 10 days, and then by 200 mg/day over a total period of 2 months. Comparable bicycle exercise times were observed at baseline in the amiodarone group (6.0 +/- 1.6 minutes) and in the placebo group (6.0 +/- 1.8 minutes). With amiodarone, there was a increase in exercise duration of 6.7 +/- 2.2 minutes versus 6.3 +/- 2.2 minutes at 1 month and 7.5 +/- 2.1 minutes versus 6.2 +/- 1.7 minutes at 2 months (p < 0.05). Also, the amiodarone group had a significant decrease in the double product when compared with the placebo group at 1 month (14,134 +/- 3,316 versus 17,570 +/- 4,092 mm Hg/min, p < 0.001) and at 2 months (14,022 +/- 3,303 and 17,298 +/- 4,872 mm Hg/min, p < 0.001). The degree of ST segment depression at peak exercise was also significantly reduced. Combination therapy of amiodarone with conventional antianginal therapy is well tolerated and results in a significant improvement in exercise capacity and a mild reduction of symptoms in patients who have continued, limiting angina pectoris with conventional triple therapy. FAU - Meyer, B J AU - Meyer BJ AD - Department of Medicine, University Hospital Zurich, Switzerland. FAU - Amann, F W AU - Amann FW LA - eng PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Am Heart J JT - American heart journal JID - 0370465 RN - 0 (Thyroid Hormones) RN - N3RQ532IUT (Amiodarone) SB - IM MH - Aged MH - Amiodarone/*therapeutic use MH - Angina Pectoris/blood/*drug therapy/physiopathology MH - Blood Pressure MH - Double-Blind Method MH - Exercise Test MH - Female MH - Heart Rate MH - Humans MH - Male MH - Middle Aged MH - Thyroid Hormones/blood EDAT- 1993/04/01 00:00 MHDA- 1993/04/01 00:01 CRDT- 1993/04/01 00:00 PHST- 1993/04/01 00:00 [pubmed] PHST- 1993/04/01 00:01 [medline] PHST- 1993/04/01 00:00 [entrez] AID - 0002-8703(93)90106-J [pii] AID - 10.1016/0002-8703(93)90106-j [doi] PST - ppublish SO - Am Heart J. 1993 Apr;125(4):996-1001. doi: 10.1016/0002-8703(93)90106-j.