Evidence map›Paper›PMID 37971125›Full record

ArticleRevista da Associacao Medica Brasileira (1992)2023

Effect of ivabradine on ventricular arrhythmias in heart failure patients with reduced ejection fraction.

Levent Pay, Ahmet Çağdaş Yumurtaş, Ozan Tezen, Tuğba Çetin, Kıvanç Keskin, Semih Eren, Göksel Çinier, Mert İlker Hayıroğlu, Tufan Çınar, Ahmet İlker Tekkeşin

Open access · diamondAbstract read
In one paragraph

Article in Revista da Associacao Medica Brasileira (1992), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
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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

10 authors at 4 institutions in 2 countries.

Levent PayArdahan State Hospital, Department of Cardiology - Ardahan, Turkey.ORCID http://orcid.org/0000-0002-7491-8119
Ahmet Çağdaş YumurtaşDr. Siyami Ersek Thoracic and Cardiovascular Surgery Training Hospital, Department of Cardiology - İstanbul, Turkey.ORCID http://orcid.org/0000-0002-7311-2826
Ozan TezenDr. Siyami Ersek Thoracic and Cardiovascular Surgery Training Hospital, Department of Cardiology - İstanbul, Turkey.ORCID http://orcid.org/0000-0002-2774-8348
Tuğba ÇetinDr. Siyami Ersek Thoracic and Cardiovascular Surgery Training Hospital, Department of Cardiology - İstanbul, Turkey.ORCID http://orcid.org/0000-0001-8555-988X
Kıvanç KeskinDr. Siyami Ersek Thoracic and Cardiovascular Surgery Training Hospital, Department of Cardiology - İstanbul, Turkey.ORCID http://orcid.org/0000-0001-7005-4184
Semih ErenDr. Siyami Ersek Thoracic and Cardiovascular Surgery Training Hospital, Department of Cardiology - İstanbul, Turkey.ORCID http://orcid.org/0000-0002-0836-4429
Göksel ÇinierBaşakşehir Çam and Sakura City Hospital, Department of Electrophysiology - İstanbul, Turkey.ORCID http://orcid.org/0000-0001-5064-1816
Mert İlker HayıroğluDr. Siyami Ersek Thoracic and Cardiovascular Surgery Training Hospital, Department of Cardiology - İstanbul, Turkey.ORCID http://orcid.org/0000-0001-6515-7349
Tufan ÇınarUniversity of Maryland Medical Center Midtown Campus, Department of Medicine - Baltimore (MD), United States.ORCID http://orcid.org/0000-0001-8188-5020
Ahmet İlker TekkeşinBaşakşehir Çam and Sakura City Hospital, Department of Electrophysiology - İstanbul, Turkey.ORCID http://orcid.org/0000-0002-1730-4575
Dr. Siyami Ersek Göğüs Kalp Ve Damar Cerrahisi Eğitim Ve Araştırma Hastanesi · TRİstanbul Başakşehir Çam ve Sakura Şehir HastanesiArdahan University · TRUniversity of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

introductionHeart failure patients with reduced ejection fraction are at high risk for ventricular arrhythmias and sudden cardiac death. Ivabradine, a specific inhibitor of the If current in the sinoatrial node, provides heart rate reduction in sinus rhythm and angina control in chronic coronary syndromes.

objectiveThe effect of ivabradine on ventricular arrhythmias in heart failure patients with reduced ejection fraction patients has not been fully elucidated. The aim of this study was to investigate the effect of ivabradine use on life-threatening arrhythmias and long-term mortality in heart failure patients with reduced ejection fraction patients.

methodsIn this retrospective study, 1,639 patients with heart failure patients with reduced ejection fraction were included. Patients were divided into two groups: ivabradine users and nonusers. Patients presenting with ventricular tachycardia, the presence of ventricular extrasystole, and ventricular tachycardia in 24-h rhythm monitoring, appropriate implantable cardioverter-defibrillator shocks, and long-term mortality outcomes were evaluated according to ivabradine use.

resultsAfter adjustment for all possible variables, admission with ventricular tachycardia was three times higher in ivabradine nonusers (95% confidence interval 1.5-10.2). The presence of premature ventricular contractions and ventricular tachycardias in 24-h rhythm Holter monitoring was notably higher in ivabradine nonusers. According to the adjusted model for all variables, 4.1 times more appropriate implantable cardioverter-defibrillator shocks were observed in the ivabradine nonusers than the users (95%CI 1.8-9.6). Long-term mortality did not differ between these groups after adjustment for all covariates.

conclusionThe use of ivabradine reduced the appropriate implantable cardioverter-defibrillator discharge in heart failure patients with reduced ejection fraction patients. Ivabradine has potential in the treatment of ventricular arrhythmias in heart failure patients with reduced ejection fraction patients.

Indexed as

Heart FailureTachycardia, VentricularVentricular Dysfunction, LeftArrhythmias, CardiacHumansIvabradineRetrospective StudiesStroke VolumeIvabradine

Identifiers

PMID37971125
PMCPMC10645178
OpenAlexW4388641477

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.