Evidence map›Paper›PMID 21638157›Full record

Trial reportClinical research in cardiology : official journal of the German Cardiac Society2011

Reducing elevated heart rate in patients with multiple organ dysfunction syndrome by the I (f) (funny channel current) inhibitor ivabradine : MODI (f)Y trial.

Sebastian Nuding, Henning Ebelt, Robert S Hoke, Annette Krummenerl, Andreas Wienke, Ursula Müller-Werdan, Karl Werdan

Abstract readClinical Trial, Phase IIRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Clinical research in cardiology : official journal of the German Cardiac Society, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 45 citations in OpenAlex.

  1. Trial
  2. Trial
  3. A prospective, randomized trial of continuous lateral rotation ("kinetic therapy") in patients with cardiogenic shock.Clinical research in cardiology : official journal of the German Cardiac Society · 2012
    Trial
  4. Lasting reduction of heart transplant tachycardia with ivabradine is effective and well tolerated: results of 48-month study.Clinical research in cardiology : official journal of the German Cardiac Society · 2012
    Trial
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
  11. Review
  12. Ivabradine: a preliminary observation for a new terapeutic role in patients with multiple organ dysfunction syndrome.Clinical research in cardiology : official journal of the German Cardiac Society · 2014
    Article
  13. Article
  14. Heart rate before ICU discharge: a simple and readily available predictor of short- and long-term mortality from critical illness.Clinical research in cardiology : official journal of the German Cardiac Society · 2013
    Article
  15. Ivabradine in pulmonary arterial hypertension: can we delay the need for parenteral prostanoid therapy?Clinical research in cardiology : official journal of the German Cardiac Society · 2013
    Article
  16. Ivabradine: potential clinical applications in critically ill patients.Clinical research in cardiology : official journal of the German Cardiac Society · 2013
    Review
  17. Review
  18. Review
  19. Safe and well-tolerated treatment with ivabradine in systemic sclerosis affected by pulmonary hypertension.Clinical research in cardiology : official journal of the German Cardiac Society · 2012
    Article
  20. Heart rate as an independent risk factor in patients with multiple organ dysfunction: a prospective, observational study.Clinical research in cardiology : official journal of the German Cardiac Society · 2012
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Sebastian NudingDepartment of Medicine III (Cardiology, Angiology, Medical Intensive Care Medicine, Geriatrics, Sports Medicine), University Clinics Halle (Saale),Germany. Sebastian.nuding@medizin.uni-halle.de
Henning Ebelt
Robert S Hoke
Annette Krummenerl
Andreas Wienke
Ursula Müller-Werdan
Karl Werdan
Martin Luther University Halle-Wittenberg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHeart rate (HR) is of relevant prognostic value not only in the general population and patients with cardiovascular disease, but also in critically ill patients with multiple organ dysfunction syndrome (MODS). An elevated HR in MODS patients is associated with a worse prognosis. Beta-blocker (BB) administration has been shown to reduce mortality in MODS. In most cases, negative inotropic effects prevent administration of BBs in MODS patients. In this trial we investigate, whether the "funny current" (I (f)) channel inhibitor ivabradine is able and apt to reduce pathologically elevated HR in MODS patients. We hypothesize that critically ill patients could derive particular benefit from the specific HR-lowering agent ivabradine.

methodsMODI (f)Y is a prospective, single centre, open label, randomized, controlled two arms, phase II-trial to evaluate the potential of ivabradine to reduce an elevated HR in MODS patients. The primary end point is the proportion of patients with a reduction of HR by at least 10 beats per minute (bpm) within 4 days. This trial will randomize 70 patients (men and women, aged ≥18 years) with newly diagnosed MODS, with an elevated HR (sinus rhythm with HR ≥90 bpm) and contraindications to BB therapy. Treatment period will last for 4 days. All patients will be followed for 6 months.

resultsThe first patient was randomized on May 21, 2010.

conclusionsThe MODI (f)Y trial is the first application of ivabradine as a pure heart rate reducing agent in MODS patients.

Indexed as

Research DesignAdrenergic beta-AntagonistsAdultAgedAnti-Arrhythmia AgentsBenzazepinesContraindicationsCritical IllnessCyclic Nucleotide-Gated Cation ChannelsFemaleGermanyHeart Conduction SystemHeart RateHumansHyperpolarization-Activated Cyclic Nucleotide-Gated ChannelsIvabradineAdrenergic beta-AntagonistsAnti-Arrhythmia AgentsBenzazepinesCyclic Nucleotide-Gated Cation ChannelsHyperpolarization-Activated Cyclic Nucleotide-Gated ChannelsIvabradinePotassium Channels

Identifiers

PMID21638157
OpenAlexW2500783082

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.