The purpose of this study was to determine if the known frequency-dependent effects of diltiazem on inward calcium current result in selective actions during supraventricular tachycardia. These effects were evaluated by use of an experimental model of orthodromic atrioventricular reentrant tachycardia (AVRT). AVRT was induced in 15 dogs over a wide range of retrograde conduction times before an...

The purpose of this study was to determine if the known frequency-dependent effects of diltiazem on inward calcium current result in selective actions during supraventricular tachycardia. These effects were evaluated by use of an experimental model of orthodromic atrioventricular reentrant tachycardia (AVRT). AVRT was induced in 15 dogs over a wide range of retrograde conduction times before an...

Introduction. In cardiovascular collapse from diltiazem poisoning, extracorporeal membrane oxygenation (ECMO) may offer circulatory support sufficient to preserve endogenous hepatic drug clearance. Little is known about patient outcomes and diltiazem toxicokinetics in this setting. Case Report. A 36-year-old woman with a history of myocardial bridging syndrome presented with chest pain for whic...

The effect of diltiazem (CRD-401) on coronary collaterals was studied in the dog. The anterior descending branch of the left coronary artery was occluded for 4 to 6 weeks by an ameroid constrictor. In these dogs, the retrograde flow (RF) from the peripheral coronary artery and peripheral coronary pressure (PCP) were significantly higher than those in acute coronary-ligated dogs, suggesting the ...

We investigated the effects of the Ca2+ antagonists diltiazem and verapamil on release of Ca2+ from intracellular store sites of rat aorta vascular smooth muscle cells in primary culture. Using the microfluorometry of Ca2+-indicator dye quin2, relative changes in cytosolic Ca2+ concentration could be measured. In the presence of 1 mM extracellular Ca2+, both diltiazem (IC50, 0.31 microM) and ve...

Abstract Background A novel gradient, high-sensitive and specific stability-indicating reverse-phase HPLC method was developed validated for quantitative purpose of known, unknown degradant impurities profiling diltiazem hydrochloride tablets. The were separated on the Zorbax RX C8 column (150 mm × 4.6 mm, 5 μm) with mobile phase-A consisting a mixture 0.05 M sodium dihydrogen phosphate monohyd...

INTRODUCTION Simvastatin and diltiazem are often prescribed together for the treatment of hypercholesterolaemia in patients with hypertension and/or angina pectoris. However, diltiazem, a CYP3A inhibitor, is a well-recognized risk factor of skeletal muscle myopathy. It is not known whether such interaction also affects myocardial efficiency causing haemodynamic changes. The aim of the experimen...

Using an isolated perfused rat heart preparation, the protective effects of lidocaine and diltiazem on ischemic derangements of myocardial energy metabolism were studied with 31P-nuclear magnetic resonance spectroscopy. The hearts were perfused with a solution containing lidocaine (4.27 x 10(-5), 12.80 x 10(-5) M) or diltiazem (2.22 x 10(-7), 2.22 x 10(-6) M) for 15 min prior to the induction o...

OBJECTIVES The Circadian Anti-ischemia Program in Europe (CAPE II) compared the efficacy of amlodipine and diltiazem (Adizem XL) and the combination of amlodipine/atenolol and diltiazem (Adizem XL)/isosorbide 5-mononitrate on exercise and ambulatory myocardial ischemia during regular therapy and after omission of medication. BACKGROUND The optimal medical therapy for ischemia suppression and ...

Sympathoinhibitory Effect of Diltiazem and Prevention of Aneurysm Formation To the Editor: We read with great interest the article by Mieth and colleagues1 dealing with the effect of the benzothiazepine-type calcium channel blocker, diltiazem, on aortic aneurysm formation in a mouse model. The results of their study demonstrated that diltiazem significantly prevented abdominal aneurysm formatio...