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Nicorandil — an Effective Multitarget Drug for Cardioprotection?

Pearce, Lucie; Carr, Richard D; Yellon, Derek M; Davidson, Sean M; (2023) Nicorandil — an Effective Multitarget Drug for Cardioprotection? Cardiovascular Drugs and Therapy , 37 pp. 5-8. 10.1007/s10557-022-07397-x. Green open access

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Abstract

Although nicorandil has been in clinical use as a treatment for angina since the 1980s, it remains a fascinating drug with potential actions in cardiac ischaemia. Unusually, it has dual properties as both a nitric oxide (NO) donor and KATP channel opener, by which it can cause coronary artery vasodilation, as well as cardioprotection against ischaemia and reperfusion (I/R) injury. As such, it may be an attractive “multitarget” drug for cardioprotection [1]. A recently published article in Cardiovascular Drugs and Therapy presents evidence that nicorandil may suppress ischaemia-induced ventricular arrhythmias (VA) [2]. In this commentary, we discuss this article in the context of the recent CHANGE clinical trial which saw multiple benefits of nicorandil in the setting of ST-elevation myocardial infarction (STEMI) [3].

Type: Article
Title: Nicorandil — an Effective Multitarget Drug for Cardioprotection?
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s10557-022-07397-x
Publisher version: https://doi.org/10.1007/s10557-022-07397-x
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Cardiovascular Science > Pre-clinical and Fundamental Science
URI: https://discovery.ucl.ac.uk/id/eprint/10159106
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