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This refers to the intensive anti-ischemic drug regimen utilized in the medical therapy arm of the Swiss Interventional Study on Silent Ischemia Type II (SWISSI II) clinical trial. Conducted at Luzerner Kantonsspital and other Swiss centers, the therapy aimed to eliminate or significantly reduce silent myocardial ischemia in asymptomatic patients following a recent myocardial infarction. The regimen consisted of titrated doses of the beta-blocker bisoprolol (5-10 mg/day), the calcium channel blocker amlodipine (5-10 mg/day), and/or the vasodilator molsidomine (4-12 mg twice daily). This pharmacological approach was compared against percutaneous coronary intervention (PCI) to evaluate long-term clinical outcomes, including cardiac death and non-fatal myocardial infarction.
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