Review Article

Evaluating Symptoms to Improve Quality of Life in Patients with Chronic Stable Angina

Table 4

Effect of antianginal treatments on myocardial oxygen supply and demand.

Drug classO2 supplyO2 demandPotential drug
tolerance
Coronary blood
flow
Heart rateArterial pressureVenous returnMyocardial
contractility

Beta-blockers No
DHP-CCBs a No
Non-DHP-CCBs No
Long-acting nitrates /— Yes
Sodium channel inhibitor
(ranolazine)
No
Revascularization /—No

Adapted from Vadnais and Wenger [8], Fuster et al. [47], and Thadani and Ripley [48].
CCBs: calcium channel blockers; DHP: dihydropyridine; O2: oxygen.
Less reflex tachycardia with amlodipine besylate.
: increased; : decreased; —: no effect.