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Am J Transl Res. 2021 Jul 15;13(7):7906-7913. eCollection 2021.

Metoprolol combined with nicorandil on unstable angina pectoris can reduce incidence of cardiovascular events and inflammatory reactions.

American journal of translational research

Junhua Zhang, Zhi Xin

Affiliations

  1. Second Department of Cardiology, Laixi City People's Hospital Laixi 266600, Qingdao, Shandong Province, China.

PMID: 34377269 PMCID: PMC8340211

Abstract

OBJECTIVE: This research was designed to investigate the efficacy of metoprolol combined with nicorandil on unstable angina pectoris (UAP).

METHODS: Totally 174 UAP patients treated in the Laixi City People's Hospital from May 2017 to December 2019 were taken as the research objects. They were divided into the control (n=79, CG) and joint (n=95) groups (JG). Patients in the CG were treated with metoprolol, while those in the JG were treated with nicorandil. The clinical efficacy, adverse events and inflammatory reactions were observed.

RESULTS: The effective rate of the JG was better than that of the CG after treatment. There were no additional adverse reactions, and the incidence of cardiovascular events reduced. The changes of cardiac function manifested that the left ventricular end systolic diameter (LVESD) and left ventricular end diastolic diameter (LVEDD) in the JG were lower than those in the CG, while the left ventricular ejection fraction (LVEF) was higher. In addition, the serum levels of total cholesterol (TC), triglyceride (TG), high-sensitivity C-reactive protein (hs-CRP) and interleukin-6 (IL-6) in the JG were lower than those in the CG.

CONCLUSION: Metoprolol combined with nicorandil is effective for UAP patients, which reduces the incidence of cardiovascular adverse events and inhibits inflammatory reactions.

AJTR Copyright © 2021.

Keywords: Unstable angina pectoris; metoprolol; nicorandil

Conflict of interest statement

None.

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