Efficacy of ivabradine in a case of inappropriate sinus tachycardia and ventricular dysfunction.
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.
Cardiology Department, Policlinico Casilino, ASL Rome B, Italy. antonella_sette@yahoo.it
Antonella
A
Sette
Annamaria
A
Martino
Ernesto
E
Lioy
Leonardo
L
Calò
D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D001552:Benzazepines / Q000627:therapeutic use*; D004562:Electrocardiography; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D000077550:Ivabradine; D008297:Male; D008875:Middle Aged; D011788:Quality of Life; D013318:Stroke Volume / Q000187:drug effects; D013616:Tachycardia, Sinus / Q000150:complications / Q000188:drug therapy* / Q000503:physiopathology; D013997:Time Factors; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000188:drug therapy* / Q000209:etiology / Q000503:physiopathology; D016277:Ventricular Function, Left / Q000187:drug effects
D000889:Anti-Arrhythmia Agents; D001552:Benzazepines; D000077550:Ivabradine