M. Radice et al., DIFFERENT EFFECTS OF ACUTE ADMINISTRATION OF AMINOPHYLLINE AND NITROGLYCERIN ON EXERCISE CAPACITY IN PATIENTS WITH SYNDROME-X, The American journal of cardiology, 78(1), 1996, pp. 88
To investigate the effects of the acute administration of aminophyllin
e and nitroglycerin on effort ischemia, 20 patients with syndrome X un
derwent 3 bicycle exercise tests after sublingual nitroglycerin (0.3 m
g) and after 90 minutes of oral administration of aminophylline (400 m
g). Compared with the basal test, only aminophylline induced a signifi
cant increase in the time to ischemic threshold and to angina; these f
indings support the potential therapeutic role of this adenosine recep
tor blocking agents and suggest a possible role of ''steal phenomenon'
' in the pathogenesis of effort angina in patients with syndrome X.