RT Journal Article T1 Clinical Experience with Diltiazem in the Treatment of Cardiovascular Diseases. A1 Rodríguez Padial, Luis A1 Barón-Esquivias, Gonzalo A1 Hernández Madrid, Antonio A1 Marzal Martín, Domingo A1 Pallarés-Carratalá, Vicente A1 de la Sierra, Alejandro K1 Angina K1 Atrial arrhythmia K1 Calcium channel blocker (CCB) K1 Diltiazem K1 Hypertension AB Cardiovascular diseases are the leading cause of death in the world. Coronary artery diseases, atrial fibrillation or hypertensive heart disease, are among the most important cardiovascular disorders. Hypertension represents a significant risk factor for cardiovascular mortality; thus, control of high blood pressure has become a priority to prevent major complications. Although the choice of drugs for treating hypertension remains controversial, extensive clinical evidences point to calcium channel blockers as first-line agents. Diltiazem, a non-dihydropyridine calcium channel blocker, is an effective and safe antihypertensive drug, alone or in combination with other agents. Diltiazem lowers myocardial oxygen demand through a reduction in heart rate, blood pressure, and cardiac contractility, representing also a good alternative for the treatment of stable chronic angina. Furthermore, diltiazem reduces conduction in atrioventricular node, which is also useful for heart rate control in patients with atrial fibrillation. In this review, clinical experts highlight studies on diltiazem effectiveness and safety for the treatment of several cardiovascular diseases and make evidence-based recommendations regarding the management of diltiazem in the clinical practice. Lacer Spain. SN 2193-8261 YR 2016 FD 2016-03-25 LK https://hdl.handle.net/10668/27737 UL https://hdl.handle.net/10668/27737 LA en DS RISalud RD Apr 17, 2025