# Patent

## Title
.beta.-adrenergic blocking imidazolylphenoxy propanolamines

## Abstract

Tetrahydrothienopyridines of the formula ##STR1## in which R is optionally substituted aryl or heterocyclyl, radical, or pharmaceutically acceptable salts thereof, which are coronary active, hypotensive, anti-diabetic and salt balance restoring.

## Background
The present invention relates to new tetrahydrothienopyridines, a process for their preparation and their use as medicaments, in particular as medicaments which influence the circulation.

The new compounds are characterised by the following general formula (I) ##STR2## in which R represents a phenyl, naphthyl, thienyl, furyl, pyrryl, pyrazolyl, imidazolyl, oxazolyl, isoxazolyl, thiazolyl, pyridyl, pyridazinyl, pyrimidyl, pyrazinyl, quinolyl, isoquinolyl, indolyl, benzimidazolyl, quinazolyl, quinoxalyl, thionaphthenyl, isothionaphthenyl, chromonyl, thiochromonyl, chromenyl, thiochromenyl, benzoxadiazolyl or benzothiadiazolyl radical, it being possible for the radicals mentioned optionally to contain 1 to 3 identical or different substituents from the group comprising alkyl (1 to 20 carbon atoms), alkenyl (1 to 20 carbon atoms), alkinyl (1 to 20 C atoms), alkoxy (1 to 20 C atoms), fluorine, chlorine, bromine, iodine, trifluoromethyl, monofluoroalkoxy (1 to 10 C atoms), polyfluoroalkoxy (1 to 10 C atoms), hydroxyl, amino, monoalkylamino (1 to 10 C atoms), dialkylamino (1 to 10 C atoms), nitro, cyano, azido, carboxyl, carbalkoxy, carboxamido, sulphonamido, SO.sub.m -alkyl (m=0 to 2, 1 to 20 C atoms), phenyl, benzyl, benzyloxy and benzylthio, it being possible for the last four substituents mentioned optionally to contain 1 to 3 radicals from the group comprising alkyl (1 to 5 C atoms), alkoxy (1 to 5 C atoms), alkylthio (1 to 5 C atoms), fluorine, chlorine, bromine, iodine, cyano, nitro, azido, hydroxyl, trifluoromethyl, amino, alkylamino (1 to 6 C atoms) or dialkylamino (in each case 1 to 6 C atoms), unsaturated hydrocarbon radical (1 to 20 C atoms), which can optionally be interrupted in the chain by 1 or 2 oxygen or sulphur atoms and which can optionally be substituted by one or more fluorine atoms, NO.sub.2, trialkylsilyl (3 to 12 C atoms), --OH, --Cl, Br, I, --CN, amino, alkylamino (1 to 10 C atoms), dialkylamino (in each case 1 to 10 C atoms), benzylalkylamino (alkyl radical with 1 to 8 C atoms), phenyl, naphthyl or pyridyl, straight-chain or branched, saturated or unsaturated hydrocarbon radical (up to 8 C atoms), (1 to 10 C atoms), which is optionally interrupted in the alkyl chain by one or two oxygen atoms and can optionally be substituted by fluorine, chlorine, bromine, iodine, --CN, --NH.sub.2, --OH or morpholino, and (1 to 10 C atoms)

in the form of isomers, isomer mixtures, racemates, optical antipodes and their pharmaceutically acceptable salts.

Examples of salts which may be mentioned are the hydrochlorides, hydrogen sulphates, sulphates, hydrogen phosphates, acetates, maleates, benzoates, citrates, tartrates and lactates.

Compounds of the general formula (I) which are of particular interest are those in which isoxazolyl, thiazolyl, pyridyl, pyridazinyl, pyrimidyl, quinolyl, isoquinolyl, indolyl, benzimidazolyl, quinazolyl, thionaphthenyl, chromonyl, thiochromonyl, chromenyl, thiochromenyl, benzoxadiazolyl or benzothiadiazolyl radical, it being possible for the radicals mentioned optionally to contain 1 to 3 identical or different substituents from the group comprising alkyl (1 to 15 carbon atoms), alkenyl (1 to 15 carbon atoms), alkinyl (1 to 15 C atoms), alkoxy (1 to 15 C atoms), fluorine, chlorine, bromine, iodine, trifluoromethyl, monofluoroalkoxy (1 to 5 C atoms), polyfluoroalkoxy (1 to 5 C atoms), hydroxy-amino, monoalkylamino (1 to 5 C atoms), dialkylamino (1 to 5 C atoms), nitro, cyano, azido, carboxyl, carboxamido, sulphonamido, SO.sub.m -alkyl (m=0 to 2, 1 to 10 C atoms), phenyl-, benzyl-, benzyloxy- and benzylthio-, it being possible for the last four substituents mentioned optionally to contain 1 to 3 radicals from the group comprising alkyl (1 to 4 C atoms), alkoxy (1 to 4 C atoms), alkylthio (1 to 4 C atoms), fluorine, chlorine, cyano, nitro, hydroxyl, trifluoromethyl fluoromethyl, amino, alkylamino (1 to 4 C atoms) or dialkylamino (1 to 4 C atoms), unsaturated hydrocarbon radical (1 to 15 C atoms), which can optionally be interrupted in the chain by 1 or 2 oxygen or sulphur atoms and can optionally be substituted by one or more fluorine atoms, NO.sub.2, trialkylsilyl (3 to 9 C atoms), --OH, --Cl, --CN, amino, alkylamino (1 to 5 C atoms) or dialkylamino (in each case 1 to 5 C atoms), saturated or unsaturated hydrocarbon radical (1 to 6 C atoms), (1 to 6 C atoms), which is optionally interrupted in the alkyl chain by one or two oxygen atoms and can optionally be substituted by fluorine, chlorine, --CN, --OH or morpholino, and (1 to 6 C atoms).

Compounds of the general formula (I) which may be mentioned as preferred are those in which pyridyl, pyrimidyl, quinolyl, isoquinolyl, indolyl, benzimidazolyl, quinazolyl, thionaphthenyl, chromonyl, thiochromonyl, chromenyl, thiochromenyl, benzoxadiazolyl or benzothiadiazolyl radical, it being possible for the radicals mentioned optionally to contain 1 or 2 identical or different substituents from the group comprising alkyl- (1 to 10 carbon atoms), alkenyl- (1 to 10 carbon atoms), alkoxy (1 to 10 C atoms), fluorine, chlorine, bromine, trifluoromethyl, monofluoroalkoxy- (1 to 5 C atoms), polyfluoroalkoxy-(1 to 5 C atoms), hydroxyl-, monoalkylamino-(1 to 5 C atoms), dialkylamino- (1 to 5 C atoms), nitro, cyano, azido, SO.sub.m -alkyl (m=0 to 2, 1 to 5 C atoms), phenyl-, benzyl-, benzyloxy- and benzylthio, it being possible for the last four substituents mentioned optionally to contain 1 to 3 radicals from the group comprising alkyl (1 to 3 C atoms), alkoxy (1 to 3 C atoms), alkylthio (1 to  3 C atoms), fluorine, chlorine, cyano, nitro and trifluoromethyl-, unsaturated hydrocarbon radical (1 to 10 C atoms), which can optionally be interrupted in the chain by 1 or 2 oxygen or sulphur atoms and can optionally be substituted by one or more fluorine atoms, NO.sub.2, trialkylsilyl (3 to 6 C atoms), --OH, --Cl, --CN, amino, alkylamino (1 to 3 C atoms) or dialkylamino (in each case 1 to 3 C atoms), unsaturated hydrocarbon radical (1 to 4 C atoms), (1 to 4 C atoms), which is optionally interrupted in the alkyl chain by 1 or 2 oxygen atoms and can optionally be substituted by fluorine, chlorine, --OH or morpholino, and atoms).

The compounds of the general formula (I) according to the invention can be prepared by a process in which benzylidene compounds of the general formula (II) ##STR3## in which R and R.sup.4 have the abovementioned meaning,

are reacted with thiolates of the general formula (III)

in which

in the presence of inert organic solvents at temperatures of -60.degree. to +80.degree. C., alkali metal halide (MeX) being split off, to give compounds of the general formula (IV) ##STR4## in which R, R.sup.4, R.sup.5 and R.sup.6 have the abovementioned meaning,

and the compound of the formula (IV) is then reacted with aminocrotonic acid esters of the general formula (V) ##STR5## in which R.sup.1, R.sup.2 and R.sup.3 have the abovementioned meaning, in the presence of inert organic solvents to give the dihydropyridine of the general formula (VI) ##STR6## in which R, R.sup.1, R.sup.2, R.sup.3, R.sup.4, R.sup.5 and R.sup.6 have the abovementioned meaning,

and this dihydropyridine of the formula (VI) is then lactonized, the thiol-protective group (R.sup.5) being split off, to give compounds of the general formula (I).

The reaction steps in the process according to the invention can be carried out either as a one-pot reaction, without the intermediates (IV) and (VI) formed being isolated, or in separate reaction stages, the intermediates (IV) and (VI) being isolated.

Acyl groups with up to 8 carbon atoms or tertiary alkyl groups, in particular tertiary butyl, may be mentioned as preferred thiol-protective groups (R.sup.5).

Lithium, sodium and potassium may be mentioned as the preferred alkali metal (Me).

Lower alcohols with up to 6 carbon atoms may be mentioned as preferred solvents for the reaction of (II) to give (IV).

Chlorine and bromine may be mentioned as the preferred halogen (X).

The thiol-protective group is preferably split off from compounds of the general formula (VI) with suitable reagents for splitting off this group, such as, for example, organic and inorganic acids.

The thiol group (S-R.sup.5) is preferably introduced at temperatures between -20.degree. and +60.degree. C., in particular between 0.degree. and 30.degree. C.

The benzylidene compounds of the general formula (II) are known, or they can be prepared by known methods (compare: Surrey et al. JACS 66, 1933 (1944)).

The sulphur compounds of the general formula (III) used for the preparation are known, or they can be prepared by known methods (compare C. Ulrich, Ann. 109 (1958), 272).

The aminocrotonic acid esters of the general formula (V) used in the preparation are likewise known, or they can be prepared by known methods (compare: A. C. Cope, J. Am. Chem. Soc. 67, 1017 (1945)).

The following compounds according to the invention may be mentioned as examples, in addition to the compounds in the preparation examples: (1) ethyl 4-(2-benzylthiophenyl)-2-methyl-5-oxo-1,4,5,7-tetrahydrothieno[3,4-b]pyrid ine-3-carboxylate, (2) methyl 4-(2-benzyloxyphenyl)-2-methyl-5-oxo-1,4,5,7-tetrahydrothieno[3,4-b]pyridi ne-3-carboxylate, (3) butyl 4-(3-chlorophenyl)-2-methyl-5-oxo-1,4,5,7-tetrahydrothieno[3,4-b]pyridine- 3-carboxylate, (4) ethyl 2-cyano-4-(2-methylphenyl)-5-oxo-1,4,5,7-tetrahydrothieno[3,4-b]pyridine-3 -carboxylate, (5) ethyl 2-methyl-5-oxo-4-(4-oxo-2-phenyl-4H-chromen-8-yl)-1,4,5,7-tetrahydrothieno [3,4-b]pyridine-3-carboxylate, (6) ethyl 2-methyl-4-(2-[4-methylbenzyl]thiophenyl)-5-oxo-1,4,5,7-tetrahydrothieno[3 ,4-b]pyridine-3-carboxylate and (7) (N-benzyl-N-methyl)-aminoethyl 2-methyl-5-oxo-4-(2-trifluoromethylphenyl)-1,4,5,7-tetrahydrothieno[3,4-b] pyridine-3-carboxylate.

The compounds according to the invention exhibit a useful pharmacological action spectrum which could not be predicted. They can be used as cardiotonic agents for improving the contractility of the heart. Moreover, since they increase the flow of Ca.sup.++  into the cells, they can be used as antihypotensives, for reduction of blood sugar, for detumescence of mucous membranes and for influencing the salt and/or fluid balance.

The compounds according to the invention can be converted in a known manner into the customary formulations, such as tablets, capsules, dragees, pills, granules, aerosols, syrups, emulsions, suspensions and solutions, using inert, non-toxic, pharmaceutically suitable excipients or solvents. The therapeutically active compound should in each case be present in a concentration of about 0.5 to 90% by weight of the total mixture, that is to say in amounts which suffice to achieve the indicated dosage range.

The formulations are prepared, for example, by extending the active compounds with solvents and/or excipients, using emulsifying agents and/or dispersing agents if appropriate, and, for example in the case of water being used as the diluent, organic solvents can be employed as auxiliary solvents, if appropriate.

Examples of auxiliaries which may be mentioned are: water, non-toxic organic solvents, such as paraffins (for example petroleum fractions), vegetable oils (for example groundnut/sesame oil), alcohols (for example ethyl alcohol and glycerol) and glycols (for example propylene glycol and polyethylene glycol), solid excipients, such as, for example, natural rock powders (for example kaolins, aluminas, talc and chalk), synthetic rock powders (for example highly disperse silica and silicates) and sugars (for example sucrose, lactose and glucose), emulsifying agents (for example polyoxyethylene fatty acid ester, polyoxyethylene fatty alcohol ethers, alkylsulphonates and arylsulphonates), dispersing agents (for example lignin, sulphite waste liquors, methylcellulose, starch and polyvinylpyrrolidone) and lubricants (for example magnesium stearate, talc, stearic acid and sodium lauryl-sulphate).

Administration is effected in the customary manner, preferably orally or parenterally, in particular perlingually or intravenously. In the case of oral use, tablets can of course also contain, in addition to the excipients mentioned, additives, such as sodium citrate, calcium carbonate and dicalcium phosphate, together with various further substances, such as starch, preferably potato starch, gelatine and the like. Furthermore, lubricants, such as magnesium stearate, sodium laurylsulphate and talc, can be used conjointly for tablet-making. In the case of aqueous suspensions and/or elixirs intended for oral use, the active compounds can be mixed with various flavor-improving agents or dyestuffs, in addition to the abovementioned auxiliaries.

In the case of parenteral administration, solutions of the active compounds can be employed, using suitable liquid excipients.

In general, it has proved advantageous, in the case of intravenous administration, to administer amounts of about 0.0001 to 1 mg/kg, preferably about 0.001 to 0.5 mg/kg of body weight daily to achieve effective results whilst in the case of oral administration the dosage is about 0.01 to 20 mg/kg, preferably 0.1 to 10 mg/kg of body weight daily.

Nevertheless, it may at times be necessary to deviate from the amounts mentioned, and in particular to do so as a function of the body weight of the experimental animal or the nature of the administration route, but also because of the species of animal and its individual behavior towards the medicament or the nature of its formulation and the time or interval at which it is administered. Thus, in some cases it may suffice to manage with less than the abovementioned minimum amount, whilst in other cases the upper limit mentioned must be exceeded. Where major amounts are administered, it can be advisable to divide these into several individual administrations over the course of the day. The same dosage range is envisaged for administration in human medicine. Here, again, the general sense of the above comments applies. 2-methyl-5-oxo-4-(2-trifluoromethylphenyl)-1,4,5,7-tetrahydrothieno[3,4-b] pyridine-3-carboxylate ##STR7##

50 mmol of ethyl 4-chloro-2-(2-trifluoromethylbenzylidene)-3-ketobutyrate (E/Z mixture) are dissolved in 100 ml of ethanol, and 50 mmol of potassium thioacetate are added at 0.degree. C., the mixture is stirred at room temperature for 2 hours and concentrated, the residue is taken up in CH.sub.2 Cl.sub.2 and the mixture is washed with water and dried. Ethyl 4-acetylthio-2-(2-trifluoromethylbenzylidene)-3-ketobutyrate (E/Z mixture) remains as an oil. ##STR8##

The oil obtained above is boiled under reflux with 50 mmol of ethyl 3-aminocrotonate in 50 ml of ethanol overnight, the mixture is concentrated and the residue is chromatographed on silica gel with toluene/ethyl acetate (8:2).

Diethyl 2-acetylthiomethyl-6-methyl-4-(2-trifluoromethylphenyl)-1,4-dihydropyridin e-3,5-dicarboxylate remains.

MS (471, M.sup..sym.), 326 (100%), 284 (40%) and 238 (20%) ##STR9##

10 mmol of diethyl 2 -acetylthiomethyl-6-methyl-4-(2-trifluoromethylphenyl)-1,4-dihydropyridine -3,5-dicarboxylate, dissolved in 40 ml of ethanol, are boiled with 6 ml of saturated ethanolic HCl for 2 hours and the product is precipitated with water and then recrystallized from ethanol.

Melting point: 213.degree.-216.degree. C. 2-methyl-5-oxo-4-(4-oxo-2-phenyl-4H-thiochromen-8-yl)-1,4,5,7-tetrahydroth ieno[3,4-b]pyridine-3-carboxylate ##STR10##

Preparation analogous to Example 1, melting point: 120.degree. C. ##STR11##

Preparation analogous to Example 1, melting point: >270.degree. C.

.sup.1 H-NMR (DMSO): 0.8 (3H,t), 2.4 (s, 3H), 3.9 (q, 2H), 4.1 and 4.3 (2d, 1H each), 5.4 (s, 1H), 7.25 (s, 1H), 7.6 (m, 5H), 7.9 (m, 2H), 8.3 (dd, 1H) and 10.2 (s, NH). 2-methyl-5-oxo-4-(4-oxo-2-phenyl-4H-thiochromen-8-yl)-1,4,5,7-tetrahydroth ieno[3,4-b]pyridine-3-carboxylate

Preparation analogous to Example 2, but without isolation of intermediates.

Melting point: 210.degree. to 220.degree. C. 2-methyl-5-oxo-4-(2-methylphenyl)-1,4,5,7-tetrahydrothieno[3,4-b]pyridine- 3-carboxylate

Preparation analogous to Example 3, melting point: 240.degree. to 43.degree. C. 2-methyl-5-oxo-4-(2-methylphenyl)-1,4,5,7-tetrahydrothieno[3,4-b]pyridine- 3-carboxylate

Preparation analogous to Example 3, melting point: 160.degree. to 163.degree. C. 4-(2-chlorophenyl)-2-methyl-5-oxo-1,4,5,7-tetrahydrothieno[3,4-b]pyridine- 3-carboxylate

Preparation analogous to Example 3, melting point: 234.degree. to 237.degree. C. 2-methyl-5-oxo-4-(4-oxo-2-phenyl-4H-thiochromen-8-yl)-1,4,5,7-tetrahydroth ieno[3,4-b]pyridine-3-carboxylate

Preparation analogous to Example 3, melting point: >270.degree. C. MS: 461 (M.sup.+, 30%), 402 (30%), 238 (80%), 224 (50%) and 44 (100%).

It will be understood that the specification and examples are illustrative but not limitative of the present invention and that other embodiments within the spirit and scope of the invention will suggest themselves to those skilled in the art. Example 1c Isolated  Perfused dp/dt-increase  Auricle (IVM) ______________________________________ +20%            10.sup.-7 g/ml +30%            10.sup.-6 g/ml +40%            10.sup.-5 g/ml ______________________________________

## Claims

1. A tetrahydrothienopyridine of the formula ##STR12## in which R represents a phenyl, naphthyl, thienyl, thionaphthenyl, isothionaphthenyl, thiochromonyl or thiochromenyl radical, it being possible for the radicals mentioned optionally to contain 1 to 3 identical or different substituents from the group comprising alkyl (1 to 20 carbon atoms), alkenyl (1 to 20 carbon atoms), alkinyl (1 to 20 carbon atoms), alkoxy (1 to 20 carbon atoms), fluorine, chlorine, bromine, iodine, trifluoromethyl, monofluoroalkoxy (1 to 10 C atoms), polyfluoroalkoxy (1 to 10 C atoms), hydroxyl, amino, monoalkylamino (1 to 10 C atoms), dialkylamino (1 to 10 C atoms), nitro, cyano, azido, carboxyl, carbalkoxy, carboxamido, sulphonamido, SO.sub.m -alkyl (m=0 to 2, 1 to 20 C atoms), phenyl-, benzyl-, benzyloxy and benzylthio, it being possible for the last four substituents mentioned optionally to contain 1 to 3 radicals from the group comprising alkyl (1 to 5 C atoms), alkoxy (1 to 5 C atoms), alkylthio (1 to 5 C atoms), fluorine, chlorine, bromine, iodine, cyano, nitro, azido, hydroxyl, trifluoromethyl, amino, alkylamino (1 to 6 C atoms) or dialkylamino (in each case 1 to 6 C atoms), unsaturated hydrocarbon radical (1 to 20 C atoms), which can optionally be interrupted in the chain by 1 or 2 oxygen or sulphur atoms and which can optionally be substituted by one or more fluorine atoms, NO.sub.2, trialkylsilyl (3 to 12 C atoms), --OH, --Cl, Br, I, --CN, amino, alkylamino (1 to 10 C atoms), dialkylamino (in each case 1 to 10 C atoms), benzylalkylamino (alkyl radical with 1 to 8 C atoms), phenyl, naphthyl or pyridyl, straight-chain or branched, saturated or unsaturated hydrocarbon radical (up to 8 C atoms), (1 to 10 C atoms) which is optionally interrupted in the alkyl chain by one or two oxygen atoms and can optionally be substituted by fluorine, chlorine, bromine, iodine, --CN, --NH.sub.2, --OH or morpholino, and (1 to 10 C atoms), or a pharmaceutically acceptable salt thereof.

2. A compound or salt according to claim 1, in which thiochromenyl radical, it being possible for the radicals mentioned optionally to contain 1 to 3 identical or different substituents from the group comprising alkyl (1 to 15 carbon atoms), alkenyl (1 to 15 carbon atoms), alkinyl (1 to 15 C atoms), alkoxy (1 to 15 C atoms), fluorine, chlorine, bromine, iodine, trifluoromethyl, monofluoroalkoxy (1 to 5 C atoms), polyfluoroalkoxy (1 to 5 C atoms), hydroxy-amino, monoalkylamino-(1 to 5 C atoms), dialkylamino (1 to 5 C atoms), nitro, cyano, azido, carboxyl, carboxamido, sulphonamido, SO.sub.m -alkyl (m=0 to 2, 1 to 10 C atoms), phenyl, benzyl, benzyloxy and benzylthio, it being possible for the last four substituents mentioned optionally to contain 1 to 3 radicals from the group comprising alkyl (1 to 4 C atoms), alkoxy (1 to 4 C atoms), alkylthio (1 to 4 C atoms), fluorine, chlorine, cyano, nitro, hydroxyl, trifluoromethyl, amino, alkylamino (1 to 4 C atoms) or dialkylamino (1 to 4 C atoms), unsaturated hydrocarbon radical (1 to 15 C atoms), which can optionally be interrupted in the chain by 1 or 2 oxygen or sulphur atoms and can optionally be substituted by one or more fluorine atoms, NO.sub.2, trialkylsilyl (3 to 9 C atoms), --OH, --Cl, --CN, amino, alkylamino (1 to 5 C atoms) or dialkylamino (in each case 1 to 5 C atoms), saturated or unsaturated hydrocarbon radical (1 to 6 C atoms), (1 to 6 C atoms), which is optionally interrupted in the alkyl chain by one or two oxygen atoms and can optionally be substituted by fluorine, chlorine, --CN, --OH or morpholino, and (1 to 6 C atoms).

3. A compound or salt according to claim 1, in which thiochromenyl radical, it being possible for the radicals mentioned optionally to contain 1 or 2 identical or different substituents from the group comprising alkyl (1 to 10 carbon atoms), alkenyl (1 to 10 carbon atoms), alkoxy (1 to 10 C atoms), fluorine, chlorine, bromine, trifluoromethyl, monofluoroalkoxy (1 to 5 C atoms), polyfluoroalkoxy (1 to 5 C atoms), hydroxyl, monoalkylamino (1 to 5 C atoms), dialkylamino (1 to 5 C atoms), nitro, cyano, azido, SO.sub.m -alkyl (m=0 to 2, 1 to 5 C atoms), phenyl, benzyl, benzyloxy and benzylthio, it being possible for the last four substituents mentioned optionally to contain 1 to 3 radicals from the group comprising alkyl (1 to 3 C atoms), alkoxy (1 to 3 C atoms), alkylthio (1 to 3 C atoms), fluorine, chlorine, cyano, nitro and trifluoromethyl, unsaturated hydrocarbon radical (1 to 10 C atoms), which can optionally be interrupted in the chain by 1 or 2 oxygen or sulphur atoms and can optionally be substituted by one or more fluorine atoms, NO.sub.2, trialkylsilyl (3 to 6 C atoms), --OH, --Cl, --CN, amino, alkylamino (1 to 3 C atoms) or dialkylamino (in each case 1 to 3 C atoms), unsaturated hydrocarbon radical (1 to 4 C atoms), (1 to 4 C atoms), which is optionally interrupted in the alkyl chain by 1 or 2 oxygen atoms and can optionally be substituted by fluorine, chlorine, --OH or morpholino, and atoms).

4. A tetrahydrothienopyridine according to claim 1, wherein such tetrahydrothienopyridine is ethyl 2-methyl-5-oxo-4-(2-trifluoromethylphenyl)-1,4,5,7-tetrahydrothieno[3,4-b] pyridine-3-carboxylate of the formula ##STR13## or a pharmaceutically acceptable salt thereof.

5. A tetrahydrothienopyridine according to claim 1, wherein such tetrahydrothienopyridine is ethyl 2-methyl-5-oxo-4-(4-oxo-2-phenyl-4H-thiochromen-8-yl)-1,4,5,7-tetrahydroth ieno[3,4-b]pyridine-3-carboxylate of the formula ##STR14## or a pharmaceutically acceptable salt thereof.

6. A tetrahydrothienopyridine according to claim 1, wherein such tetrahydrothienopyridine is methyl 2-methyl-5-oxo-4-(2-methylphenyl)-1,4,5,7-tetrahydrothieno[3,4-b]pyridine- 3-carboxylate of the formula ##STR15## or a pharmaceutically acceptable salt thereof.

7. A tetrahydrothienopyridine according to claim 1, wherein such tetrahydrothienopyridine is methyl 2-methyl-5-oxo-4-(4-oxo-2-phenyl-4H-thiochromen-8-yl)-1,4,5,7-tetrahydroth ieno[3,4-b]pyridine-3-carboxylate of the formula ##STR16## or a pharmaceutically acceptable salt thereof.

8. A cardiotonic agent for combating circulation disorders, hypotension, diabetes and salt imbalance in a patient comprising an amount effective therefor of a tetrahydrothienopyridine or salt according to claim 1 in admixture with a diluent.

9. A unit dose of a cardiotonic agent according to claim 1 in the form of a tablet, capsule of ampule.

10. A method of combating hypotension, diabetes or a salt imbalance in a patient in need thereof which comprises administering an amount effective therefor of a tetrahydrothienopyridine or salt according to claim 1.

11. The method according to claim 10, wherein said tetrahydrothienopyridine is selected from the group consisting of ethyl 2-methyl-5-oxo-4-(2-trifluoromethylphenyl)-1,4,5,7-tetrahydrothieno[3,4-b] pyridine-3-carboxylate, ethyl 2-methyl-5-oxo-4-(4-oxo-2-phenyl-4H-thiochromen-8-yl)-1,4,5,7-tetrahydroth ieno[3,4-b]pyridine-3-carboxylate, methyl 2-methyl-5-oxo-4-(2-methylphenyl)-1,4,5,7-tetrahydrothieno[3,4-b]pyridine- 3-carboxylate or methyl 2-methyl-5-oxo-4-(4-oxo-2-phenyl-4H-thiochromen-8-yl)-1,4,5,7-tetrahydroth ieno[3,4-b]pyridine-3-carboxylate, or pharmaceutically acceptable salt thereof.

12. A cardiotonic agent according to claim 8, wherein the tetrahydrothienopyridine is present in a concentration of 0.5 to 90% by weight of the total.