Efficacy of ivabradine in a case of inappropriate sinus tachycardia and ventricular dysfunction
Abstract
We present a case of a 49-year-old man with inappropriate sinus tachycardia and ventricular dysfunction. The conventional treatment (ace-inhibitor and beta-blockers) was not well tolerated by the patient, so Ivabradine, a specific inhibitor of If current in the sinus node, was started. After 3 months of using this medication, we observed an improvement of ejection fraction and quality of life.
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Inappropriate sinus tachycardia has been very rarely associated with tachycardia-induced cardiomyopathy in long-standing cases.
“the arrhythmia has been very rarely associated with tachycardia-induced cardiomyopathy in patients with long-standing inappropriate sinus tachycardia.96,97”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [97]
Cites
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Prevalence, characteristics and natural course of inappropriate sinus tachycardia
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A case of cardiomyopathy induced by inappropriate sinus tachycardia and cured by ivabradine
WINUM, P., CAYLA, G., RUBINI, M., BECK, L., & MESSNER‐PELLENC, P. (2009) · Pacing and Clinical Electrophysiology · doi:10.1111/j.1540-8159.2009.02414.x · Cited by 59 · see citing works
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Ivabradine as an Alternative Therapeutic Trial in the Therapy of Inappropriate Sinus Tachycardia
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The Heart Rate‐Lowering Agent Ivabradine Inhibits the Pacemaker Current Ifin Human Atrial Myocytes
Chemaly, A. E., Magaud, C., Patri, S., et al. (2007) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2007.00955.x · Cited by 36 · see citing works
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Katritsis, D. G., Boriani, G., Cosio, F. G., Hindricks, G., Jaïs, P., Josephson, M. E., Keegan, R., Kim, Y.-H., Knight, B. P., Kuck, K.-H., et al. (2017) · Europace · doi:10.1093/europace/euw301 · Cited by 188 · see citing works
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FRANKEL, D. S., LIN, D., ANASTASIO, N., MOUNTANTONAKIS, S. E., DIXIT, S., GERSTENFELD, E. P., HUTCHINSON, M. D., RILEY, M. P., MARCHLINSKI, F. E., & CALLANS, D. J. (2012) · Journal of Cardiovascular Electrophysiology · doi:10.1111/j.1540-8167.2012.02297.x · Cited by 26 · see citing works
- Authors
- SETTE, A., MARTINO, A., LIOY, E., & CALÒ, L.
- Affiliations
- ASL Roma (IT)
- Corresponding author
- SETTE, ANTONELLA
- ORCID
- CALÒ, LEONARDO
- Venue
- Journal of Cardiovascular Electrophysiology
- Publisher
- Wiley
- Published
- 2010-06-25
- Volume
- 21
- Issue
- 7
- Pages
- 815-817
- ISSN
- 1045-3873 (ISSN-L)
- 1540-8167
- OpenAlex
- W2057871723
- Cited by
- 19
- References
- 9
- Citations by year
- 2025: 1 · 2021: 1 · 2020: 3 · 2019: 2 · 2016: 2 · 2015: 1 · 2012: 4
- FWCI
- 1.98
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Cardiovascular Electrophysiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart rate and cardiovascular health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Keywords
- ivabradine, inappropriate sinus tachycardia, ventricular dysfunction, sinoatrial node, ejection fraction, quality of life, beta-blocker intolerance, ACE inhibitor intolerance
- MeSH terms
- Ivabradine, Anti-Arrhythmia Agents, Benzazepines, Electrocardiography, Heart Rate, Humans, Male, Middle Aged, Quality of Life, Stroke Volume, Tachycardia, Sinus, Time Factors, Ventricular Function, Left, Treatment Outcome, Ventricular Dysfunction, Left
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