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Related Experiment Videos

Alinidine in angina.

T Meinertz, W Kasper, R Meier

    Clinical Pharmacology and Therapeutics
    |December 1, 1983
    PubMed
    Summary
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    Alinidine effectively reduced angina symptoms and nitroglycerin use in patients with coronary artery disease. This novel heart rate-lowering drug improved exercise tolerance without beta-adrenergic side effects.

    Area of Science:

    • Cardiology
    • Pharmacology

    Background:

    • Alinidine (N-allyl-clonidine) lowers heart rate without blocking beta-adrenergic receptors.
    • It presents a potential alternative for angina patients avoiding beta-blocker side effects.

    Purpose of the Study:

    • To evaluate the efficacy of alinidine in patients with stable angina and coronary artery disease.

    Main Methods:

    • A 10-week, placebo-controlled, randomized, double-blind trial.
    • Participants received alinidine (40 mg three times daily) or placebo.
    • Evaluated anginal attacks, nitroglycerin use, double product, S-T segment depression, and exercise tolerance.

    Main Results:

    • Alinidine significantly reduced anginal attacks and nitroglycerin consumption.

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  • A decrease in double product (heart rate x systolic blood pressure) was observed, primarily due to reduced heart rate.
  • Ischemic S-T segment depression diminished, and exercise tolerance improved in most participants.
  • Conclusions:

    • Alinidine demonstrates efficacy in managing stable angina in patients with coronary artery disease.
    • It offers a therapeutic option with a favorable side effect profile compared to beta-blockers.