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Erschienen in: Current Cardiology Reports 2/2016

01.02.2016 | Ischemic Heart Disease (D Mukherjee, Section Editor)

Current Role of Ivabradine in Stable Coronary Artery Disease Without Heart Failure

verfasst von: Mateo Porres-Aguilar, Oscar C. Muñoz, Aamer Abbas

Erschienen in: Current Cardiology Reports | Ausgabe 2/2016

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Abstract

Increase in heart rate represents a significant contribution in the pathophysiology of coronary artery disease and heart failure, by promoting atherosclerotic process and endothelial dysfunction. Thus, it negatively influences cardiovascular risk in the general population. The aim of this review is to analyze the current, controversial, and future role of ivabradine as an anti-anginal agent in the setting of coronary artery disease without heart failure. Ivabradine represents a selective heart rate-lowering agent that increased diastolic perfusion time and improving energetics in the ischemic myocardium.
Literatur
1.
Zurück zum Zitat Canty Jr JM. Coronary pressure-function and steady-state pressure-flow relations during autoregulation in the un-anesthetized dog. Circ Res. 1988;63(4):821–36.CrossRefPubMed Canty Jr JM. Coronary pressure-function and steady-state pressure-flow relations during autoregulation in the un-anesthetized dog. Circ Res. 1988;63(4):821–36.CrossRefPubMed
2.
Zurück zum Zitat Boudoulas H, Rittgers SE, Lewis RP, et al. Changes in diastolic time with various pharmacologic agents: implication for myocardial perfusion. Circulation. 1979;60(1):164–9.CrossRefPubMed Boudoulas H, Rittgers SE, Lewis RP, et al. Changes in diastolic time with various pharmacologic agents: implication for myocardial perfusion. Circulation. 1979;60(1):164–9.CrossRefPubMed
3.
Zurück zum Zitat Axsom K, Bangalore S. Heart rate in coronary artery disease: should we lower it? Curr Treat Options Cardiovasc Med. 2013;15(1):118–28.CrossRefPubMed Axsom K, Bangalore S. Heart rate in coronary artery disease: should we lower it? Curr Treat Options Cardiovasc Med. 2013;15(1):118–28.CrossRefPubMed
4.
Zurück zum Zitat Bohm M, Reil JC, Deedwania P, et al. Resting heart rate: risk indicator and emerging risk factor in cardiovascular disease. Am J Med. 2015;128(3):219–28.CrossRefPubMed Bohm M, Reil JC, Deedwania P, et al. Resting heart rate: risk indicator and emerging risk factor in cardiovascular disease. Am J Med. 2015;128(3):219–28.CrossRefPubMed
5.
6.
Zurück zum Zitat Kannel WB, Kannel C, Paffabarger RS, et al. Heart rate and cardiovascular mortality: the Framingham study. Am Heart J. 1987;113(6):1489–94.CrossRefPubMed Kannel WB, Kannel C, Paffabarger RS, et al. Heart rate and cardiovascular mortality: the Framingham study. Am Heart J. 1987;113(6):1489–94.CrossRefPubMed
7.
Zurück zum Zitat Sulfi S, Timmis AD. Ivabradine: the first selective sinus node If channel inhibitor in the treatment of stable angina. Int J Clin Pract. 2006;60(2):222–8.PubMedCentralCrossRefPubMed Sulfi S, Timmis AD. Ivabradine: the first selective sinus node If channel inhibitor in the treatment of stable angina. Int J Clin Pract. 2006;60(2):222–8.PubMedCentralCrossRefPubMed
8.
Zurück zum Zitat DiFrancesco D. The role of the funny current in pacemaker activity. Circ Res. 2010;106(3):434–46.CrossRefPubMed DiFrancesco D. The role of the funny current in pacemaker activity. Circ Res. 2010;106(3):434–46.CrossRefPubMed
9.
Zurück zum Zitat Borer JS, Fox K, Jaillon P, et al. Antianginal and anti-ischemic effects of ivabradine, an If inhibitor, in stable angina: a randomized, double blind, multicenter, placebo-controlled trial. Circulation. 2003;107(3):817–23.CrossRefPubMed Borer JS, Fox K, Jaillon P, et al. Antianginal and anti-ischemic effects of ivabradine, an If inhibitor, in stable angina: a randomized, double blind, multicenter, placebo-controlled trial. Circulation. 2003;107(3):817–23.CrossRefPubMed
10.
Zurück zum Zitat Tardif JC, Ford I, Tendera M, et al. Efficacy of ivabradine, a new selective If inhibitor, compared with atenolol in patients with chronic stable angina. Eur Heart J. 2005;26(23):2529–36.CrossRefPubMed Tardif JC, Ford I, Tendera M, et al. Efficacy of ivabradine, a new selective If inhibitor, compared with atenolol in patients with chronic stable angina. Eur Heart J. 2005;26(23):2529–36.CrossRefPubMed
11.
Zurück zum Zitat Ruzyllo W, Tendera M, Ford I, et al. Antianginal efficacy and safety of ivabradine compared with amlodipine in patients with stable effort angina pectoris: a 4-month randomized, double-blind, multicenter, non-inferiority trial. Drugs. 2007;67(3):393–405.CrossRefPubMed Ruzyllo W, Tendera M, Ford I, et al. Antianginal efficacy and safety of ivabradine compared with amlodipine in patients with stable effort angina pectoris: a 4-month randomized, double-blind, multicenter, non-inferiority trial. Drugs. 2007;67(3):393–405.CrossRefPubMed
12.
Zurück zum Zitat Tardif JC, Ponikowski P, Kahan T. Efficacy of the If current inhibitor ivabradine in patients with chronic stable angina receiving beta blocker therapy: a 4-month, randomized, placebo-controlled trial. Eur Heart J. 2009;30(5):540–8.PubMedCentralCrossRefPubMed Tardif JC, Ponikowski P, Kahan T. Efficacy of the If current inhibitor ivabradine in patients with chronic stable angina receiving beta blocker therapy: a 4-month, randomized, placebo-controlled trial. Eur Heart J. 2009;30(5):540–8.PubMedCentralCrossRefPubMed
13.••
Zurück zum Zitat Fox K, Ford I, Steg PG, et al. Ivabradine in stable coronary artery disease without clinical heart failure. N Engl J Med. 2014;371(12):1091–9. This original communication reports the results of the SIGNIFY trial, in which the effects of ivabradine on cardiovascular events in patients with stable coronary artery disease were analyzed. CrossRefPubMed Fox K, Ford I, Steg PG, et al. Ivabradine in stable coronary artery disease without clinical heart failure. N Engl J Med. 2014;371(12):1091–9. This original communication reports the results of the SIGNIFY trial, in which the effects of ivabradine on cardiovascular events in patients with stable coronary artery disease were analyzed. CrossRefPubMed
14.•
Zurück zum Zitat Fox K, Komajda M, Ford I, et al. Effect of ivabradine in patients with left ventricular systolic dysfunction: a pooled analysis of individual patient data from the BEAUTIFUL and SHIFT trial. Eur Heart J. 2013;34(29):2263–70. This pooled analysis demonstrated that ivabradine may be important for the improvement of clinical cardiovascular outcomes in patients with systolic heart failure. CrossRefPubMed Fox K, Komajda M, Ford I, et al. Effect of ivabradine in patients with left ventricular systolic dysfunction: a pooled analysis of individual patient data from the BEAUTIFUL and SHIFT trial. Eur Heart J. 2013;34(29):2263–70. This pooled analysis demonstrated that ivabradine may be important for the improvement of clinical cardiovascular outcomes in patients with systolic heart failure. CrossRefPubMed
15.
Zurück zum Zitat Montalescot G, Sechtem U, Achenbach S, et al. European Society of Cardiology (ESC) guidelines on the management of stable coronary artery disease. Eur Heart J. 2013;34(38):2949–3003.CrossRefPubMed Montalescot G, Sechtem U, Achenbach S, et al. European Society of Cardiology (ESC) guidelines on the management of stable coronary artery disease. Eur Heart J. 2013;34(38):2949–3003.CrossRefPubMed
16.
Zurück zum Zitat Swedberg K, Komjada M, Bohm M, et al. Effects on outcomes of heart rate reduction by ivabradine in patients with congestive heart failure: is there an influence of beta-blocker dose?—findings from the SHIFT study. J Am Coll Cardiol. 2012;59(22):1938–45.CrossRefPubMed Swedberg K, Komjada M, Bohm M, et al. Effects on outcomes of heart rate reduction by ivabradine in patients with congestive heart failure: is there an influence of beta-blocker dose?—findings from the SHIFT study. J Am Coll Cardiol. 2012;59(22):1938–45.CrossRefPubMed
17.
Zurück zum Zitat Ferrari R, Kim KM. The role of heart rate may differ according to pathophysiological setting: from SHIFT to SIGNIFY. Eur Heart J. 2015;36(31):2042–6.CrossRefPubMed Ferrari R, Kim KM. The role of heart rate may differ according to pathophysiological setting: from SHIFT to SIGNIFY. Eur Heart J. 2015;36(31):2042–6.CrossRefPubMed
18.
Zurück zum Zitat Martin RI, Pogoryelova O, Koref MS, et al. Atrial fibrillation associated with ivabradine treatment: meta-analysis of randomized controlled trials. Heart. 2014;100(7):1506–10.PubMedCentralCrossRefPubMed Martin RI, Pogoryelova O, Koref MS, et al. Atrial fibrillation associated with ivabradine treatment: meta-analysis of randomized controlled trials. Heart. 2014;100(7):1506–10.PubMedCentralCrossRefPubMed
Metadaten
Titel
Current Role of Ivabradine in Stable Coronary Artery Disease Without Heart Failure
verfasst von
Mateo Porres-Aguilar
Oscar C. Muñoz
Aamer Abbas
Publikationsdatum
01.02.2016
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 2/2016
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-015-0689-2

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