Trimetazidine

  1. It produces a metabolic switch via inhibition of fatty acid oxidation toward activation of glucose oxidation during ischaemia.

  2. ↓ intracellular lactic acid accumulation and intracellular ion disturbance.

  3. ↓ intracellular Ca2+ and Na+ accumulation and preserve contractile function.

  4. ↓ membrane damage through antioxidant effect.