Ivabradine in the treatment of heart failure Review article
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Abstract
In June 2016 „European Heart Journal” published the guidelines of the European Society of Cardiology on the diagnosis and treatment of acute and chronic heart failure. This document updates the data on the diagnosis and management of patients with heart failure. This guidelines emphasize that ivabradine improves prognosis in patients with chronic heart failure. According to the guidelines ivabradine should be considered to reduce the risk of heart failure hospitalization or cardiovascular death in symptomatic patients with LVEF ≤ 35%, in sinus rhythm and a resting heart rate ≥ 70 bpm despite treatment with an evidence-based dose of β-blocker (or maximum tolerated dose below that), ACE-I (or ARB), and an MRA (or ARB). The article presents the most important data concerning the use of ivabradine in patients with heart failure and describes the case of a patient with severe heart failure, in which the ivabradine was used.
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References
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