Comparison of atenolol and nifedipine in chronic stable angina pectoris

William Shapiro, Kenneth A. Narahara, John B. Kostis, Francis Thandroyen, Lenore R. Zohman

Research output: Contribution to journalArticlepeer-review

15 Scopus citations


The antiangina effects of atenolol, 50 to 200 mg once daily, or nifedipine, 10 to 30 mg 3 times daily, were evaluated in a multicenter, randomized, double-blind, parallel study of 39 patients with known symptomatic coronary artery disease. Treatment was titrated to produce at least a 30% increase in treadmill exercise duration over placebo baseline and then maintained at that dosage for an additional 3 weeks. Both treatments produced significant (p < 0.001) increases in duration of exercise, total work and exercise capacity when compared with placebo baseline. These improvements in exercise performance were obtained with significant (p < 0.001) reductions in both ST-segment depression and rate-pressure product for atenolol compared with nifedipine. Furthermore, the total angina attack rate and rate at rest were significantly (p < 0.01) less frequent with atenolol than with nifedipine. Hence, the antiischemic effects of atenolol exceeded those of nifedipine, based on ST-segment depression and rate-pressure product at comparable workloads.

Original languageEnglish (US)
Pages (from-to)186-190
Number of pages5
JournalThe American Journal of Cardiology
Issue number3
StatePublished - Jul 15 1989

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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