PMID- 8734139 OWN - NLM STAT- MEDLINE DCOM- 19961017 LR - 20131121 IS - 0003-3928 (Print) IS - 0003-3928 (Linking) VI - 45 IP - 2 DP - 1996 Feb TI - [Evaluation of amlodipine in stable effort angina. Comparison with diltiazem in terms of efficacy, tolerability and maintenance of the anti-ischemic action 24 hours after the last dose]. PG - 74-82 AB - 83 patients were enrolled in a multicentre, randomized, open study to assess the efficacy of amlodipine in stable effort angina. Preselected patients were submitted to a one-week placebo wash-out period during which only nitrates or molsidomine were authorized. Patients were then randomized to receive either 5 mg of amlodipine as a morning dose, or 180 mg of diltiazem in three divided doses. After two weeks, the dosage was able to be increased (according to clinical efficacy) to 10 mg of amlodipine as a single dose or 240 mg of diltiazem in four divided doses. The antianginal efficacy of these two treatments was essentially evaluated in terms of the results of stress tests (ST) conducted at the end of the second week and fourth week of active treatment: and 24 hours after the last dose of the drug. The results of 63 patients who scrupulously complied with the protocol showed that amlodipine and diltiazem corrected or improved the ST parameters (time to onset and amplitude of ST depression, duration of ST, work performed). The anti-ischaemic action of amlodipine was maintained for at least 24 hours after the last dose and therefore provides better security (by covering the entire 24-hour period) and better compliance (by tolerating a dose omission of several hours). FAU - Marchand, X AU - Marchand X AD - Service de Cardiologie, CHI de Poissy. FAU - Tibi, T AU - Tibi T FAU - Bernaud, C AU - Bernaud C FAU - Morand, P AU - Morand P LA - fre PT - Clinical Trial PT - Comparative Study PT - English Abstract PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial TT - Evaluation de l'amlodipine dans l'angor d'effort stable. Comparaison avec le diltiazem en termes d'efficacite, de tolerance et de maintien de l'action anti-ischemique 24 heures apres la derniere prise. PL - France TA - Ann Cardiol Angeiol (Paris) JT - Annales de cardiologie et d'angeiologie JID - 0142167 RN - 0 (Calcium Channel Blockers) RN - 0 (Vasodilator Agents) RN - 1J444QC288 (Amlodipine) RN - EE92BBP03H (Diltiazem) SB - IM MH - Adult MH - Aged MH - Amlodipine/adverse effects/*therapeutic use MH - Angina Pectoris/*drug therapy/physiopathology MH - Blood Pressure MH - Calcium Channel Blockers/adverse effects/*therapeutic use MH - Diltiazem/adverse effects/*therapeutic use MH - Exercise Test MH - Heart Rate MH - Humans MH - Male MH - Middle Aged MH - *Physical Exertion MH - Vasodilator Agents/adverse effects/*therapeutic use EDAT- 1996/02/01 00:00 MHDA- 1996/02/01 00:01 CRDT- 1996/02/01 00:00 PHST- 1996/02/01 00:00 [pubmed] PHST- 1996/02/01 00:01 [medline] PHST- 1996/02/01 00:00 [entrez] PST - ppublish SO - Ann Cardiol Angeiol (Paris). 1996 Feb;45(2):74-82.