Nifedipine in Severe Aortic Regurgitation
To the Editor: It is unfortunate that Scognamiglio et al. (Sept. 15 issue) 1 chose to use digoxin instead of placebo to study the effects of nifedipine in asymptomatic patients with chronic, severe aortic regurgitation. Almost two decades since the short-term beneficial effects of vasodilator therap...
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Veröffentlicht in: | The New England journal of medicine 1995-05, Vol.332 (19), p.1302-1304 |
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container_title | The New England journal of medicine |
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creator | Manyari, D E Yunus, A |
description | To the Editor:
It is unfortunate that Scognamiglio et al. (Sept. 15 issue)
1
chose to use digoxin instead of placebo to study the effects of nifedipine in asymptomatic patients with chronic, severe aortic regurgitation. Almost two decades since the short-term beneficial effects of vasodilator therapy in severe aortic regurgitation were first reported,
2
clinicians still await proof that vasodilator therapy reduces or delays the need for aortic-valve replacement in asymptomatic patients with severe, chronic aortic regurgitation. Although some authors
3
,
4
have promoted the routine use of vasodilators to delay the need for valve replacement in these patients, an informal survey we . . . |
doi_str_mv | 10.1056/NEJM199505113321913 |
format | Article |
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It is unfortunate that Scognamiglio et al. (Sept. 15 issue)
1
chose to use digoxin instead of placebo to study the effects of nifedipine in asymptomatic patients with chronic, severe aortic regurgitation. Almost two decades since the short-term beneficial effects of vasodilator therapy in severe aortic regurgitation were first reported,
2
clinicians still await proof that vasodilator therapy reduces or delays the need for aortic-valve replacement in asymptomatic patients with severe, chronic aortic regurgitation. Although some authors
3
,
4
have promoted the routine use of vasodilators to delay the need for valve replacement in these patients, an informal survey we . . .</description><identifier>ISSN: 0028-4793</identifier><identifier>EISSN: 1533-4406</identifier><identifier>DOI: 10.1056/NEJM199505113321913</identifier><identifier>PMID: 7772147</identifier><language>eng</language><publisher>United States: Massachusetts Medical Society</publisher><subject>Aortic Valve Insufficiency - drug therapy ; Digoxin - adverse effects ; Humans ; Nifedipine - therapeutic use ; Ventricular Function, Left - drug effects</subject><ispartof>The New England journal of medicine, 1995-05, Vol.332 (19), p.1302-1304</ispartof><rights>Copyright © 1995 Massachusetts Medical Society. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-4d226bc3609951cb3cbbad2b7271676dda78065324716a290afd6af128ba92553</citedby><cites>FETCH-LOGICAL-c375t-4d226bc3609951cb3cbbad2b7271676dda78065324716a290afd6af128ba92553</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.nejm.org/doi/pdf/10.1056/NEJM199505113321913$$EPDF$$P50$$Gmms$$H</linktopdf><linktohtml>$$Uhttps://www.nejm.org/doi/full/10.1056/NEJM199505113321913$$EHTML$$P50$$Gmms$$H</linktohtml><link.rule.ids>314,780,784,2759,2760,26103,27924,27925,52382,54064</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7772147$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Manyari, D E</creatorcontrib><creatorcontrib>Yunus, A</creatorcontrib><title>Nifedipine in Severe Aortic Regurgitation</title><title>The New England journal of medicine</title><addtitle>N Engl J Med</addtitle><description>To the Editor:
It is unfortunate that Scognamiglio et al. (Sept. 15 issue)
1
chose to use digoxin instead of placebo to study the effects of nifedipine in asymptomatic patients with chronic, severe aortic regurgitation. Almost two decades since the short-term beneficial effects of vasodilator therapy in severe aortic regurgitation were first reported,
2
clinicians still await proof that vasodilator therapy reduces or delays the need for aortic-valve replacement in asymptomatic patients with severe, chronic aortic regurgitation. Although some authors
3
,
4
have promoted the routine use of vasodilators to delay the need for valve replacement in these patients, an informal survey we . . .</description><subject>Aortic Valve Insufficiency - drug therapy</subject><subject>Digoxin - adverse effects</subject><subject>Humans</subject><subject>Nifedipine - therapeutic use</subject><subject>Ventricular Function, Left - drug effects</subject><issn>0028-4793</issn><issn>1533-4406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9j8lKA0EQhhtRYow-gQhzFRnt6nX6GELciBFczkNvEzo4C90Twbd3ZIInsS5F8fP91IfQOeBrwFzcrJePT6AUxxyAUgIK6AGaAqc0ZwyLQzTFmBQ5k4oeo5OUtngYYGqCJlJKAkxO0eU6VN6FLjQ-C0326j999Nm8jX2w2Yvf7OIm9LoPbXOKjir9kfzZfs_Q--3ybXGfr57vHhbzVW6p5H3OHCHCWCrw8BlYQ60x2hEjiQQhhXNaFlhwSthwa6KwrpzQFZDCaEU4pzNEx14b25Sir8ouhlrHrxJw-eNd_uE9UBcj1e1M7d0vsxcd8qsxr-tUNn5b_9v2DWV5XXg</recordid><startdate>19950511</startdate><enddate>19950511</enddate><creator>Manyari, D E</creator><creator>Yunus, A</creator><general>Massachusetts Medical Society</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>19950511</creationdate><title>Nifedipine in Severe Aortic Regurgitation</title><author>Manyari, D E ; Yunus, A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-4d226bc3609951cb3cbbad2b7271676dda78065324716a290afd6af128ba92553</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Aortic Valve Insufficiency - drug therapy</topic><topic>Digoxin - adverse effects</topic><topic>Humans</topic><topic>Nifedipine - therapeutic use</topic><topic>Ventricular Function, Left - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Manyari, D E</creatorcontrib><creatorcontrib>Yunus, A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><jtitle>The New England journal of medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Manyari, D E</au><au>Yunus, A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nifedipine in Severe Aortic Regurgitation</atitle><jtitle>The New England journal of medicine</jtitle><addtitle>N Engl J Med</addtitle><date>1995-05-11</date><risdate>1995</risdate><volume>332</volume><issue>19</issue><spage>1302</spage><epage>1304</epage><pages>1302-1304</pages><issn>0028-4793</issn><eissn>1533-4406</eissn><abstract>To the Editor:
It is unfortunate that Scognamiglio et al. (Sept. 15 issue)
1
chose to use digoxin instead of placebo to study the effects of nifedipine in asymptomatic patients with chronic, severe aortic regurgitation. Almost two decades since the short-term beneficial effects of vasodilator therapy in severe aortic regurgitation were first reported,
2
clinicians still await proof that vasodilator therapy reduces or delays the need for aortic-valve replacement in asymptomatic patients with severe, chronic aortic regurgitation. Although some authors
3
,
4
have promoted the routine use of vasodilators to delay the need for valve replacement in these patients, an informal survey we . . .</abstract><cop>United States</cop><pub>Massachusetts Medical Society</pub><pmid>7772147</pmid><doi>10.1056/NEJM199505113321913</doi><tpages>3</tpages></addata></record> |
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source | MEDLINE; EZB-FREE-00999 freely available EZB journals; ProQuest Central UK/Ireland; New England Journal of Medicine |
subjects | Aortic Valve Insufficiency - drug therapy Digoxin - adverse effects Humans Nifedipine - therapeutic use Ventricular Function, Left - drug effects |
title | Nifedipine in Severe Aortic Regurgitation |
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