Summary

Risk Score:

Risk score for predicting death, myocardial infarction and stroke in patients with stable angina, based on a large randomised trial cohort of patients.

Clayton T, Lubsen J, Pocock SJ, et al, on behalf of the ACTION investigators. BMJ 2005; 331;869–73. ACTION provides a risk scoring system for patients with angina.
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Safety:

Safety of nifedipine GITS in stable angina: the ACTION trial

Poole-Wilson PA, Kirwan BA, Vokó Z, et al, on behalf of the ACTION investigators. Cardiovasc Drugs Ther 2006;20:45–54..

ACTION strengthens the evidence that Adalat® (nifedepine GITS) is well tolerated in patients with symptomatic stable angina and coronary artery diease.
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Atrial Fibrillation:

Incidence and outcome of atrial fibrillation in stable symptomatic coronary disease.

Otterstad JE, Kirwan, B-A, Lubsen J, et al, on behalf of the ACTION investigators. Scan Cardiovasc J

2006;40:152–9.

Patients with coronary qartery disease and atrial fibrillation benefit from therapy with Adalat® (nifedipine GITS).
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Coronary Calcification:

Tracking coronary calcification and atherosclerotic lesions in patients with stable angina pectoris undergoing nifedipine therapy.

Motro M, Kirwan B-A, de Brouwer S, et al. Cardiology 2007;107:166–71.

Early intervention with Adalat® (nifedipine GITS) can slow the development of new atherosclerotic lesions in patients with coronary artery disease. Furthermore, Adalat® has beneficial effects on the development of new or early atherosclerotic lesions.
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Heart Failure:

The development of heart failure in patients with stable angina pectoris.

 Sutton GC, Otterstad JE, Kirwan B-A, et al, on behalf of the ACTION investigators. Eur J Heart

Failure 2006; doi:10.1016/j.ejheart.2006.09.002

Adalat® (nifedipine GITS) significantly reduces the risk of new overt heart failure.
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Dual mode of action:

Blood pressure reduction in stable angina by nifedipine was related to stroke and heart failure reduction but not to coronary interventions.

Lubsen J, Vokó Z, Poole-Wilson PA, et al, on behalf of the ACTION Investigators. J Clin Epidemiol;2007 doi:10.1016/j.jclinepi.2006.10.015

Adalat® (nifedipine GITS) significantly reduces the incidence of debilitating stroke and heart failure through its BP-lowering effects
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Cost Savings:

Resource utilisation implications of treatment can be assessed when clinical trial data are reported appropriately.

Poole-Wilson PA, Kirwan B-A, Vokó Z, et al, on behalf of the ACTION Investigators. J Clin Epidemiol; doi:10.1016/j.jclinepi.2006.10.016

In patients with symptomatic stable angina and coronary artery disease, Adalat® (nifedipine GITS) significantly reduces the need for costly medical and procedural interventions – reducing the burden on healthcare resources.
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