title: [Ivabradine in coronary heart disease: experimental and clinical pharmacology].
abstract: The present paper reviews clinical evidence underlining the role of ivabradine in the management of patient with ischemic heart disease. Reduction in heart rate mediated by this selective I(f) current inhibitor has been associated with anti-ischemic efficacy without any effect on haemodynamic or myocardial contractility. The antianginal efficacy of ivabradine is similar or superior to that of conventional anti-ischemic agents. Moreover combination therapy with ivabradine provides substantial benefit in patients already receiving beta-blocker. Prognostic efficacy of ivabradine is evaluated in a large program of studies, among which BEAUTIFUL in coronary patients with left ventricular dysfunction. The SIGNIFY study is ongoing in stable coronary patients without ventricular dysfunction. Furthermore the SHIFT trial will evaluate ivabradine benefits in heart failure patients, whatever the origin, ischemic or not.
authors.affiliation: Service de Pharmacologie Clinique, Inserm U 858, Faculté de Médecine, Toulouse, France. pathak@cict.fr
authors.forename: Atul
authors.initials: A
authors.lastname: Pathak
authors.forename: Alain
authors.initials: A
authors.lastname: Berdeaux
authors.forename: Paul
authors.initials: P
authors.lastname: Mulder
authors.forename: Christian
authors.initials: C
authors.lastname: Thuillez
mesh_terms: D000818:Animals; D001552:Benzazepines / Q000494:pharmacology*; D002317:Cardiovascular Agents / Q000494:pharmacology*; D003327:Coronary Disease / Q000188:drug therapy* / Q000503:physiopathology; D006333:Heart Failure / Q000188:drug therapy / Q000503:physiopathology; D006339:Heart Rate / Q000187:drug effects; D006801:Humans; D000077550:Ivabradine; D018487:Ventricular Dysfunction, Left / Q000150:complications
chemical_list: D001552:Benzazepines; D002317:Cardiovascular Agents; D000077550:Ivabradine