Current Role of Ivabradine in Stable Coronary Artery Disease Without Heart Failure

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作者
Mateo Porres-Aguilar
Oscar C. Muñoz
Aamer Abbas
机构
[1] Texas Tech University Health Sciences Center/Paul L. Foster School of Medicine,Department of Internal Medicine
[2] Texas Tech University Health Sciences Center/Paul L. Foster School of Medicine,Division of Cardiovascular Diseases
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Coronary artery disease; Ivabradine; Heart failure; Heart rate;
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摘要
Increase in heart rate represents a significant contribution in the pathophysiology of coronary artery disease and heart failure, by promoting atherosclerotic process and endothelial dysfunction. Thus, it negatively influences cardiovascular risk in the general population. The aim of this review is to analyze the current, controversial, and future role of ivabradine as an anti-anginal agent in the setting of coronary artery disease without heart failure. Ivabradine represents a selective heart rate-lowering agent that increased diastolic perfusion time and improving energetics in the ischemic myocardium.
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