| Lack of effects of trimetazidine on systemic hemodynamics in patients with coronary artery disease: a placebo-controlled study. | |
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MedLine Citation:
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PMID: 10150185 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Trimetazidine has been shown to improve anginal symptoms and exercise tolerance in patients with coronary artery disease (CAD). To determine the hemodynamic effects of trimetazidine, systemic hemodynamics were studied in 15 patients suffering from CAD (12 male, 3 female, mean age +/- SEM = 58.6 +/- 1.8 years). Cardiac index was determined by thermodilution method. Left ventricular and aortic pressures were measured using micromanometers (Miller Instruments). After basal measurements, patients were randomly given either placebo (n = 5) or one of two therapeutic doses of trimetazidine 1 mg.kg-1 (n = 5) or trimetazidine 1.5 mg.kg-1 (n = 5) in a double-blind procedure. Data were recorded 5, 10 and 20 min after intravenous drug bolus. Throughout the procedure, the evolution of systemic hemodynamic parameters was not statistically different between the three groups, in particular heart rate, cardiac index, systolic, diastolic and mean aortic pressures, end-diastolic ventricular pressure, mean capillary wedge pressure, pulmonary artery pressures or systemic vascular resistances. We conclude that, unlike other antianginal drugs (particularly beta-blockers, nitrates and calcium-channel inhibitors), trimetazidine does not modify systemic hemodynamics in patients with CAD. These results are consistent with a direct effect of trimetazidine on the ischemic myocardial cell previously reported. |
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Authors:
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M Pornin; C Harpey; J Allal; P Sellier; P Ourbak |
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Publication Detail:
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Type: Clinical Trial; Journal Article; Randomized Controlled Trial |
Journal Detail:
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Title: Clinical trials and meta-analysis Volume: 29 ISSN: 0927-5401 ISO Abbreviation: Clin Trials Metaanal Publication Date: 1994 Apr |
Date Detail:
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Created Date: 1995-06-01 Completed Date: 1995-06-01 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9212070 Medline TA: Clin Trials Metaanal Country: NETHERLANDS |
Other Details:
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Languages: eng Pagination: 49-56 Citation Subset: T |
Affiliation:
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Service de Cardiologie, Hôpital Broussais, Paris, France. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Angina Pectoris
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prevention & control Aorta / drug effects Blood Pressure / drug effects Cardiac Output / drug effects Coronary Disease / drug therapy*, physiopathology Double-Blind Method Exercise Tolerance / drug effects Female Heart Rate / drug effects Hemodynamics / drug effects* Humans Injections, Intravenous Male Middle Aged Placebos Pulmonary Wedge Pressure / drug effects Trimetazidine / administration & dosage, therapeutic use* Vascular Resistance / drug effects Ventricular Function, Left / drug effects Ventricular Pressure / drug effects |
| Chemical | |
Reg. No./Substance:
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0/Placebos; 5011-34-7/Trimetazidine |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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