
doi: 10.1291/hypres.19.57
pmid: 10968196
A major controversy about the safety of calcium channel blockers (CCBs) has arisen since the publication of a case-control study showing that hypertensives who suffered an acute myocardial infarction (MI) were more likely than hypertensives who had not had an MI to be taking one of these (short-acting) agents than other antihypertensive agents. This study was accompanied by a republication of older studies showing that large doses of short-acting nifedipine given to post-MI patients increased their mortality rate. The danger of massive doses of short-acting nifedipine in a post-MI patient is real but irrelevant to current practice. On the other hand, the putative dangers of short-acting CCBs in the treatment of hypertension do not apply to the current use of long-acting CCBs. Therefore the scare over their use is both irrational and unfortunate.
calcium channel blockers, hypertension, Hypertension, Myocardial Infarction, Humans, coronary disease, Calcium Channel Blockers
calcium channel blockers, hypertension, Hypertension, Myocardial Infarction, Humans, coronary disease, Calcium Channel Blockers
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