652 Is heart rate lowering per se beneficial in chronic heart failure management and permanent cardiac pacing?

2007 ◽  
Vol 6 (1) ◽  
pp. 139-139
Author(s):  
D LOGEART ◽  
V CIOBOTARU ◽  
J GUEFFET ◽  
F POUSSET ◽  
F ROUZET ◽  
...  
2019 ◽  
Vol 19 (21) ◽  
pp. 1878-1901 ◽  
Author(s):  
Yue Zhou ◽  
Jian Wang ◽  
Zhuo Meng ◽  
Shuang Zhou ◽  
Jiayu Peng ◽  
...  

Chronic Heart Failure (CHF) is a complex clinical syndrome with a high incidence worldwide. Although various types of pharmacological and device therapies are available for CHF, the prognosis is not ideal, for which, the control of increased Heart Rate (HR) is critical. Recently, a bradycardic agent, ivabradine, is found to reduce HR by inhibiting the funny current (If). The underlying mechanism states that ivabradine can enter the Hyperpolarization-activated Cyclic Nucleotide-gated (HCN) channels and bind to the intracellular side, subsequently inhibiting the If. This phenomenon can prolong the slow spontaneous phase in the diastolic depolarization, and thus, reduce HR. The clinical trials demonstrated the significant effects of the drug on reducing HR and improving the symptoms of CHF with fewer adverse effects. This review primarily introduces the chemical features and pharmacological characteristics of ivabradine and the mechanism of treating CHF. Also, some expected therapeutic effects on different diseases were also concluded. However, ivabradine, as a typical If channel inhibitor, necessitates additional research to verify its pharmacological functions.


2013 ◽  
Vol 61 (10) ◽  
pp. E735
Author(s):  
Savina Nodari ◽  
Marco Triggiani ◽  
Laura Lupi ◽  
Alessandra Manerba ◽  
Giuseppe Milesi ◽  
...  

2009 ◽  
Vol 18 (6) ◽  
pp. 450-455 ◽  
Author(s):  
A Driscoll ◽  
L Worrall-Carter ◽  
D L Hare ◽  
P M Davidson ◽  
B Riegel ◽  
...  

2007 ◽  
Vol 30 (6) ◽  
pp. 787-795 ◽  
Author(s):  
PANAYOTA FLEVARI ◽  
PANAGIOTA GEORGIADOU ◽  
DIONYSSIOS LEFTHERIOTIS ◽  
EFTHIMIOS LIVANIS ◽  
GEORGE THEODORAKIS ◽  
...  

2018 ◽  
Vol 16 (7) ◽  
pp. 515-526 ◽  
Author(s):  
Sheryl L Chow ◽  
Robert L. Page ◽  
Christophe Depre

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