Evidence map›Paper›PMID 37666416›Full record

Trial reportIndian heart journal

A pilot study evaluating the role of ivabradine for rate control in patients with rheumatic atrial fibrillation.

Arpita Katheria, Aditya Kapoor, Ankit Sahu, Kamlesh Raut, Harshit Khare, Roopali Khanna, Sudeep Kumar, Naveen Garg, Satyendra Tewari

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Indian heart journal. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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

9 authors at 1 institution in 1 country.

Arpita KatheriaDepartment of Cardiology, Sanjay Gandhi PGIMS, Lucknow, 226014, India. Electronic address: akapoor65@gmail.com.
Aditya KapoorDepartment of Cardiology, Sanjay Gandhi PGIMS, Lucknow, 226014, India.
Ankit SahuDepartment of Cardiology, Sanjay Gandhi PGIMS, Lucknow, 226014, India.
Kamlesh RautDepartment of Cardiology, Sanjay Gandhi PGIMS, Lucknow, 226014, India.
Harshit KhareDepartment of Cardiology, Sanjay Gandhi PGIMS, Lucknow, 226014, India.
Roopali KhannaDepartment of Cardiology, Sanjay Gandhi PGIMS, Lucknow, 226014, India.
Sudeep KumarDepartment of Cardiology, Sanjay Gandhi PGIMS, Lucknow, 226014, India.
Naveen GargDepartment of Cardiology, Sanjay Gandhi PGIMS, Lucknow, 226014, India.
Satyendra TewariDepartment of Cardiology, Sanjay Gandhi PGIMS, Lucknow, 226014, India.
Sanjay Gandhi Post Graduate Institute of Medical Sciences · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesIvabradine may have a role in rate control of atrial fibrillation (AF) due to effects on HCN channels in AV node. We studied role of Ivabradine in rate control of rheumatic AF.

methods80 patients, rheumatic AF, HR > 100 bpm (age 47 ± 11 yrs, AF duration 6.8 ± 2.9 years, rate 131 ± 16 bpm) on maximally tolerated ββ or CCB's, randomized to Ivabradine or escalated ββ/CCB. Ivabradine started @ 2.5 mg BD; increased to 5 mg BD if inadequate response at 1 week (failure to decrease HR < 10% vs baseline). After Holter at 1 month, dose escalated to 7.5 mg BD if needed.

resultsIvabradine resulted in significantly lower HR (81 ± 10 vs 99 ± 9) at 3 months and 6 months (79 ± 8 vs 94 ± 8, p < 0.001). Absolute reduction in HR: 56 ± 15 vs 31 ± 14 bpm and % change in HR: 41 ± 7 vs 24 ± 9%, both p < 0.00001). At 6 months, Ivabradine group had. 1Significantly lower NT Pro BNP (1168 vs 1314 pg/ml), higher 6 min walk distance (410 ± 47 vs 349 ± 54 m, all p < 0.001) 2Better symptom class (EHRA score 1: asymptomatic 84% vs 40%), improvement >1 EHRA class; baseline 60% vs 17% 3Better LA Strain (22.8 ± 2.8% vs 20.6 ± 2.5%) Ivabradine was well tolerated and there was no drug withdrawal.

conclusionOur data suggest that Ivabradine can be an option for rate control in rheumatic AF.

Indexed as

Atrial FibrillationBenzazepinesHeart RateRheumatic Heart DiseaseDose-Response Relationship, DrugElectrocardiography, AmbulatoryFemaleFollow-Up StudiesHumansIvabradineMaleMiddle AgedPilot ProjectsProspective StudiesTreatment OutcomeBenzazepinesIvabradineAtrial fibrillationIvabradineRate controlRheumatic heart disease

Identifiers

PMID37666416
PMCPMC10568053
OpenAlexW4386388614

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.