[Is there a role for calcium antagonists when beta-adrenergic blockade therapy is contraindicated in post-myocardial infarction?]

Therapie. 2006 May-Jun;61(3):191-4.
[Article in French]

Abstract

The purpose of this paper is to examine the eventual benefits of treatment with calcium channel blockers in post-myocardial infarction, through an overview of main placebo-controlled trials that have been conducted to test this therapeutic in acute coronary syndromes. It appears obvious that the vast majority of these trials was conducted in the pre-reperfusion era and failed to demonstrate a reduction in mortality. To conclude, the superiority of a therapy with calcium antagonists over a placebo in the management of post-myocardial infarction remains unknown. In contrast, adverse effects associated with the prescription of calcium antagonists are well known.

Publication types

  • Review

MeSH terms

  • Adrenergic beta-Antagonists*
  • Calcium Channel Blockers / therapeutic use*
  • Contraindications
  • Diltiazem / therapeutic use
  • Humans
  • Long QT Syndrome / drug therapy
  • Myocardial Infarction / drug therapy*
  • Nifedipine / therapeutic use
  • Verapamil / therapeutic use

Substances

  • Adrenergic beta-Antagonists
  • Calcium Channel Blockers
  • Verapamil
  • Diltiazem
  • Nifedipine