title: Management of inappropriate sinus tachycardia with ivabradine in a renal transplant recipient.
abstract: Inappropriate sinus tachycardia (IST) is a syndrome characterized by unexplained tachycardia (heart rate > 100 beats /min) and related symptoms at rest. We describe a case of a 35 year old male with end stage renal disease who developed IST after renal transplant in the surgical intensive care unit. Management of IST is usually nonspecific and includes bradycardic agents, radiofrequency ablation or surgical ablation of the sinus node. This patient was well managed with ivabradine (If pacemaker current inhibitor) after failure and intolerance of β-adrenergic blockers.
authors.affiliation: Department of Anaesthesia and Critical Care, Mahatma Gandhi Medical College and Hospitals.
authors.forename: Vipin
authors.initials: V
authors.lastname: Kumar Goyal
authors.forename: Suraj
authors.initials: S
authors.lastname: Godara
authors.forename: Trilok
authors.initials: T
authors.lastname: Chandra Sadasukhi
authors.forename: Hoti
authors.initials: H
authors.lastname: Lal Gupta
mesh_terms: D000328:Adult; D001552:Benzazepines / Q000627:therapeutic use*; D006801:Humans; D000077550:Ivabradine; D016030:Kidney Transplantation; D008297:Male; D013616:Tachycardia, Sinus / Q000188:drug therapy*
chemical_list: D001552:Benzazepines; D000077550:Ivabradine