The therapeutic role of ivabradine in heart failure

Author:

Badu-Boateng Charles1,Jennings Robert1,Hammersley Daniel2

Affiliation:

1. Department of Medicine, Frimley Park Hospital, Frimley, Camberley, UK

2. Department of Cardiology, Kings College Hospital NHS Foundation Trust, Denmark Hill, London SE5 9RS, UK

Abstract

Heart failure represents a major global cause of morbidity and mortality. Ivabradine is a selective funny current (If) inhibitor, which acts on the sinoatrial node, resulting in a reduction in heart rate. Ivabradine is currently licensed for use in patients with symptomatic heart failure with reduced ejection fraction and a heart rate persistently at least 70 beats per minute in spite of otherwise optimal prognostic heart failure pharmacotherapy. In this review article, we examine the mechanism of action of ivabradine, evaluate the clinical trials underpinning its application in heart failure and discuss its current recommended clinical use in this capacity.

Publisher

SAGE Publications

Subject

Medicine (miscellaneous)

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