Document Detail


Ranolazine, a new antianginal drug.
MedLine Citation:
PMID:  19804144     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
The increasing and unmet social and economic burden of ischemic heart disease calls for new antianginal therapies. Ranolazine, a new antianginal agent, has a different mode of action from existing therapies, which act by decreasing indices of cardiac work. Ranolazine mainly affects the late sodium current across the membrane of cardiomyocytes, inducing a cascade of electrophysiologic and metabolic effects with the potential to reduce the cardiac ischemic burden without significantly changing blood pressure and heart rate. In clinical trials, ranolazine has been demonstrated to exert antianginal and anti-ischemic effects in chronic angina. It improves exercise performance, and decreases angina frequency and nitroglycerin use. Ranolazine is well tolerated at therapeutic doses. Larger studies are needed to explore the effects on hard end-points of morbidity and mortality.
Authors:
Luigi Tavazzi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Future cardiology     Volume:  1     ISSN:  1744-8298     ISO Abbreviation:  Future Cardiol     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2009-10-06     Completed Date:  2009-12-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101239345     Medline TA:  Future Cardiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  447-55     Citation Subset:  -    
Affiliation:
Institute of Care and Research, Divisione di Cardiologia, IRCCS Policlinico San Matteo, P.le Golgi, 227100 Pavia, Italy. l.tavazzi@smatteo.pv.it
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