P2825 Beta-blockers use in advanced heart failure. Analysis on 18,286 patients of the Italian network on congestive heart failure (IN-CHF)

2003 ◽  
Vol 24 (5) ◽  
pp. 535
Author(s):  
G DITANO
2003 ◽  
Vol 35 (4) ◽  
pp. 259-266 ◽  
Author(s):  
John A Sallach ◽  
Sidney Goldstein

Author(s):  
Amit Frenkel ◽  
Yoav Bichovsky ◽  
Natan Arotsker ◽  
Limor Besser ◽  
Ben-Zion Joshua ◽  
...  

Background: Beta blockers, mainly propranalol, are usually administered to control heart rate in patients with thyrotoxicosis, especially when congestive heart failure presents. However, when thyrotoxicosis is not controlled, heart rate may be difficult to control even with maximal doses of propranolol. This presentation alerts physicians to the possibility of using ivabradine, a selective inhibitor of the sinoatrial pacemaker, for the control of heart rate. Case presentation: We present a 37-year-old woman with thyrotoxicosis and congestive heart failure whose heart rate was not controlled with a maximal dose of beta blockers during a thyroid storm. The addition of ivabradine, a selective inhibitor of the sinoatrial pacemaker, controlled her heart rate within 48 hours. Conclusion: Ivabradine should be considered in patients with thyrotoxicosis, including those with heart failure, in whom beta blockers are insufficient to control heart rate


1998 ◽  
Vol 16 (5) ◽  
pp. 340
Author(s):  
P A Heidenreich ◽  
T T Lee ◽  
B M Massie

1996 ◽  
Vol 132 (2) ◽  
pp. 369-375 ◽  
Author(s):  
Xavier Copie ◽  
Françoise Pousset ◽  
Philippe Lechat ◽  
Patrice Jaillon ◽  
Louis Guize ◽  
...  

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