Ivabradine, coronary artery disease and heart failure: beyond rhythm control
Abstract
Elevated heart rate could negatively influence cardiovascular risk in the general population. It can induce and promote the atherosclerotic process by means of several mechanisms involving endothelial shear stress and biochemical activities. Furthermore, elevated heart rate can directly increase heart ischemic conditions because of its skill in unbalancing demand/supply of oxygen and decreasing the diastolic period. Thus, many pharmacological treatments have been proposed in order to reduce heart rate and ameliorate the cardiovascular risk profile of individuals, especially those suffering from coronary artery diseases (CAD) and chronic heart failure (CHF). Ivabradine is the first pure heart rate reductive drug approved and currently used in humans, created in order to selectively reduce sinus node function and to overcome the many side effects of similar pharmacological tools (ie, β-blockers or calcium channel antagonists). The aim of our review is to evaluate the role and the safety of this molecule on CAD and CHF therapeutic strategies.
Autore Pugliese
Tutti gli autori
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ZITO A.;CICCONE M.M.
Titolo volume/Rivista
Non Disponibile
Anno di pubblicazione
2014
ISSN
1177-8881
ISBN
Non Disponibile
Numero di citazioni Wos
15
Ultimo Aggiornamento Citazioni
Non Disponibile
Numero di citazioni Scopus
19
Ultimo Aggiornamento Citazioni
Non Disponibile
Settori ERC
Non Disponibile
Codici ASJC
Non Disponibile
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