Pleiotropic action(s) of the bradycardic agent ivabradine: cardiovascular protection beyond heart rate reduction

被引:53
作者
Heusch, G. [1 ]
机构
[1] Univ Essen Gesamthsch, Sch Med, Inst Pathophysiol, Essen, Germany
关键词
atherosclerosis; beta-blocker; heart rate; infarct size; ivabradine; myocardial ischaemia; reperfusion; remodelling;
D O I
10.1038/bjp.2008.347
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The bradycardic agent ivabradine has proved to be of benefit in experimental models with the end points of ischaemic myocardial blood flow and contractile function, infarct size, post-infarct remodelling and atherosclerosis. The benefits to ischaemic myocardial blood flow and contractile function are strictly heart rate dependent; those on infarct size are partly heart rate independent. The heart rate dependency of ivabradine's benefit for atherosclerotic vascular function is contradictory, and that on post-infarct remodelling is entirely unclear.
引用
收藏
页码:970 / 971
页数:2
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