Evidence map›Paper›PMID 39656365›Full record

ReviewCardiovascular drugs and therapy2025

Reassessing Ivabradine: Potential Benefits and Risks in Atrial Fibrillation Therapy.

Dorsa Alijanzadeh, Shahrzad Moghim, Paniz Zarand, Mohammad Ali Akbarzadeh, Yasaman Zarinfar, Isa Khaheshi

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In one paragraph

Review in Cardiovascular drugs and therapy, 2025. 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
–field-weighted citation impact
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. 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

6 authors.

Dorsa AlijanzadehStudent Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Shahrzad MoghimFaculty of Pharmacy, Mazandaran University of Medical Sciences, Sari, Iran.
Paniz ZarandSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Mohammad Ali AkbarzadehCardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Yasaman ZarinfarSchool of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Isa KhaheshiCardiovascular Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. isa_khaheshi@yahoo.com.ORCID 0000-0001-6694-6542

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIvabradine has been identified as a funny current (If) inhibitor in the sinoatrial node (SAN) and is considered an advocated therapeutic agent in chronic heart failure and stable angina. This therapeutic agent has shown positive benefits in maintaining a reduction in heart rate while sustaining hemodynamic stability. Its clinical application is still evolving and the mechanism of action is becoming clearer daily. The use of this agent to manage atrial fibrillation (AF) has recently been brought under discussion. This study summarizes the mechanism of action of ivabradine and current evidence about the risk of new-onset AF and rate-lowering potential as a therapeutic option in patients suffering from AF.

methodsThis review synthesizes findings from preclinical studies, case reports, and clinical trials that assess ivabradine's efficacy in controlling heart rate and its association with new-onset AF.

resultsStudies have shown that this medication may be beneficial in ventricular rate reduction in patients intolerant of first-line AF therapeutic options, including non-dihydropyridine calcium channel blockers and β-blockers. However, it is important to state that ivabradine-treated patients with cardiovascular diseases demonstrated an increased risk for new-onset AF compared with those patients who did not receive it.

conclusionWhile ivabradine demonstrates promise as a therapeutic option for rate control in patients with AF, its use is accompanied by a notable risk of new-onset AF. Further studies should focus on optimal dosing strategies and long-term outcomes of ivabradine treatment in AF management.

Indexed as

Anti-Arrhythmia AgentsAtrial FibrillationBenzazepinesCardiovascular AgentsAnimalsHeart RateHumansIvabradineRisk AssessmentTreatment OutcomeAnti-Arrhythmia AgentsBenzazepinesCardiovascular AgentsIvabradineAntiarrhythmic drugsAtrial fibrillationIvabradineRate controlSinoatrial node

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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.