Thank you for your question! Regarding Clinidipine; it is in the same pharmacological category with Amlodipin (calcium channel blockers); it is a drug developed by Japan pharmaceutical companies; its primary use is treatment of
hypertension, not for arrhythmia; it is demonstrated effective in reducing blood pressure, but further studies in patients need to be done in order to be approved by the american FDA (Food and Drug Administration); according to side effects it has almost the similar profile as Amlodipin ( causes peripheral edemas in about 16% of patients treated with it (5-20 mg). Usually it is taken 1 dose per day.
On the other side Amlodipin has been studied more profoundly and is now well known for its antihypertensive effect.
Nevertheless I don't think that both of them affect the occurrence of arrhythmia; so to focus on your
stress test results, I think that the presence of complex arrhythmia during stress test in accordance with other clinical (
chest discomfort, etc) or ECG findings (ST segment depressions, etc) should raise the suspicion towards relapsing ischemic problems; you have now almost 13 years from your By pass, and your vein grafts probably used ( you had triple By pass) should be checked with more scrutiny for their patency; In that case I recommend you to perform a coronary
angiography which is a routine protocol in so many years after CABG.
Hope to have been helpful to you; Best wishes from Dr. Iliri