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European Heart Journal 1997 18(Supplement A):117-124; doi:10.1093/eurheartj/18.suppl_A.117
Copyright © 1997 by the European Society of Cardiology.
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© 1997 The European Society of Cardiology

How European cardiologists perceive the role of calcium antagonists in the treatment of unstable angina

C. J. Pepine, S. L. Chierchia*, R. Ferrari{dagger}, and A. L'Abbate{ddagger}

Division of cardiology, University of Florida, Gainesville FL, U.S.A.
* Divisione di Cardiologia Ospedale San Raffaele, Milan, Italy
{dagger} Chair of cardiology, University of Brescia Brescia IRCCS, Salvatore Maugeri Foundation Gussago, Brescia, Italy
{ddagger} Istituto di Fisiologia Clinica del Consiglio Nazionale delie Richerche Pisa, Italy

Correspondence: Prof. Roberto Ferrari, Chair of Cardiology, University of Brescia, Spedali Clvili, P.le Spedali Civili, 1, 25123 Brescia, Italy

Physicians in the United States have recently published a guide to the definition and management of unstable angina pectoris. The guideline divides this condition into three main groups: ‘rest’, ‘new onset’ and ‘increasing’ angina. For the great majority of patients, medication involves heparin, acetylsalicylic acid, nitrates and beta-blockers. In some patient groups, calcium antagonists are appropriate treatment. These recommendations seem to be broadly supported by European cardiologists. Study of individual cases, however, reveals a continuing diversity of opinion.

Key Words: Unstable angina • diagnosis • treatment strategies • coronary angiography • case studies


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