Safety and efficacy of off-label use of ivabradine in patients with acute heart failure

BACKGROUND: Ivabradine is approved to improve exercise tolerance and quality of life in patients with chronic heart failure; its use in acute heart failure (AHF) has not previously been studied

Bibliographische Detailangaben
Veröffentlicht in:Journal of the Saudi Heart Association. - 1999. - 31(2019), 4 vom: 05. Okt., Seite 179-187
1. Verfasser: Othman, Khaled M Said (VerfasserIn)
Weitere Verfasser: Mostafa, Mohamed Ahmed Radwan, Yosef, Ahmed Elsayed, Abdeltawab, Adham Ahmed
Format: Online-Aufsatz
Sprache:English
Veröffentlicht: 2019
Zugriff auf das übergeordnete Werk:Journal of the Saudi Heart Association
Schlagworte:Journal Article Acute heart failure Exercise tolerance Functional capacity Ivabradine
LEADER 01000caa a22002652 4500
001 NLM299456552
003 DE-627
005 20240720232141.0
007 cr uuu---uuuuu
008 231225s2019 xx |||||o 00| ||eng c
024 7 |a 10.1016/j.jsha.2019.05.006  |2 doi 
028 5 2 |a pubmed24n1476.xml 
035 |a (DE-627)NLM299456552 
035 |a (NLM)31333320 
040 |a DE-627  |b ger  |c DE-627  |e rakwb 
041 |a eng 
100 1 |a Othman, Khaled M Said  |e verfasserin  |4 aut 
245 1 0 |a Safety and efficacy of off-label use of ivabradine in patients with acute heart failure 
264 1 |c 2019 
336 |a Text  |b txt  |2 rdacontent 
337 |a ƒaComputermedien  |b c  |2 rdamedia 
338 |a ƒa Online-Ressource  |b cr  |2 rdacarrier 
500 |a Date Revised 20.07.2024 
500 |a published: Print-Electronic 
500 |a Citation Status PubMed-not-MEDLINE 
520 |a BACKGROUND: Ivabradine is approved to improve exercise tolerance and quality of life in patients with chronic heart failure; its use in acute heart failure (AHF) has not previously been studied 
520 |a METHODS: Forty adult patients admitted with AHF were randomized into two groups; Group 1 patients were prescribed beta-blockers (BBs) and Group 2 patients were prescribed ivabradine. Both groups were given optimum anti-failure treatment for AHF. All patients were assessed for heart rate (HR), 6-minute walk test (6MWT), New York Heart Association (NYHA) classification, and Minnesota Living With Heart Failure Questionnaire (MLWHFQ) before and after 1 month of therapy 
520 |a RESULTS: BBs or ivabradine among optimum medical therapy for AHF resulted in a significant improvement in all the studied parameters (NYHA class; 6MWT distance; HR and Borg scale dyspnea/fatigue score before and after the walk). The MLWHFQ was significantly worse during the follow-up in both groups. At the end of follow-up, there was a comparable beneficial effect attributed to the significant HR reduction observed in both groups 
520 |a CONCLUSION: The results of this pilot study demonstrated the safety of the early use of ivabradine alone versus BBs when tolerated in patients admitted with AHF (both acutely decompensated as well as de novo). Both groups achieved comparable reduction in HR with improvement in functional capacity and exercise tolerance 
650 4 |a Journal Article 
650 4 |a Acute heart failure 
650 4 |a Exercise tolerance 
650 4 |a Functional capacity 
650 4 |a Ivabradine 
700 1 |a Mostafa, Mohamed Ahmed Radwan  |e verfasserin  |4 aut 
700 1 |a Yosef, Ahmed Elsayed  |e verfasserin  |4 aut 
700 1 |a Abdeltawab, Adham Ahmed  |e verfasserin  |4 aut 
773 0 8 |i Enthalten in  |t Journal of the Saudi Heart Association  |d 1999  |g 31(2019), 4 vom: 05. Okt., Seite 179-187  |w (DE-627)NLM098225227  |x 1016-7315  |7 nnns 
773 1 8 |g volume:31  |g year:2019  |g number:4  |g day:05  |g month:10  |g pages:179-187 
856 4 0 |u http://dx.doi.org/10.1016/j.jsha.2019.05.006  |3 Volltext 
912 |a GBV_USEFLAG_A 
912 |a SYSFLAG_A 
912 |a GBV_NLM 
912 |a GBV_ILN_350 
951 |a AR 
952 |d 31  |j 2019  |e 4  |b 05  |c 10  |h 179-187