Arms Assigned Interventions Experimental: Ivabradine Ivabradine 5 mg twice a day for first 4 weeks and 7.5mg twice a day when positive ETT and HR\>60times/min or negative ETT and HR\>80times/min of subjects. Active Comparator: Atenolol Atenolol 12.5 mg twice a day for first 4 weeks and 25mg twice a day when positive ETT and heard rate\>60times/min or negative ETT and HR \>80times/min of subjects.
1. Washout period:Chronic angina patients stop using medicine that affect heart rate. The patients undergoes ETT after 2-7 days and positive ETT into the treatment period(If not take similar medicine, patients can be carried out ETT directly)。 2. Treatment period:Patients carried out ETT after therapy with Ivabradine(5mg,bid)/ Atenolol(12.5mg,bid) for 4 weeks.The dose adjust base on test result and heart rate, Ivabradine(5mg,bid)/Atenolol(12.5mg,bid) or Ivabradine(7.5mg,bid)/ Atenolol(25mg,bid) for 8 weeks and carried out ETT. 3. security period:After the treatment period, all patients to take Atenolol 12.5mg/ 25mg bid 1 week. If heart rate are low 50 times/min after taking Ivabradine 5mg/ Atenolol 12.5mg, subjects should withdrawal and dropped out study. If subjects heart rate are low 50 times/min after taking Ivabradine 7.5mg/ Atenolol 25mg, subjects should change the dose to Ivabradine 5mg/ Atenolol 12.5mg.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
QUADRUPLE
Enrollment
336
Not Provided
Not Provided
Guizhou Provincial People's Hospital
Guiyang, Guizhou, China
RECRUITINGZhongda Hospital Southeast University
Nanjing, Jiangsu, China
RECRUITINGThe General Hospital of Shenyang Military
Shenyang, Liaoning, China
RECRUITINGThe primary efficacy endpoint is Change from total exercise duration in exercise tolerance test (ETT)
Time frame: Baseline and end of treatment (Week 12) .
Time to angina in exercise tolerance test.
Time frame: 12 weeks
Time to 1 mm ST-segment depression in exercise tolerance test
Time frame: 12 weeks
Number of angina attacks in exercise tolerance test per week
Time frame: 12 weeks
Number of sublingual nitroglycerin consumption per week
Time frame: 12 weeks
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