Usefulness Of Ivabradine To Treat "unexpected" Heart Failure Caused By "acute" Right Ventricular Pacing |
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Authors: | de Ruvo Ermenegildo Sebastiani Francesco Sciarra Luigi Fagagnini Alessandro Calo Leonardo |
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Affiliation: | UOC Cardiologia, Policlinico Casilino, Roma, ASL ROMA/B Italy. |
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Abstract: | We present the case of a patient with a heart failure episode induced by acute right ventricular pacing. After reversal of beta-blockers because of chronic obstructive pulmonary disease (COPD) exacerbation, the following sinus tachycardia caused a 2:1 atrioventricular block and consequent continuous right ventricular pacing. He was treated with the selective I(f) inhibitor ivabradine, that reduced both ventricular pacing percentage and heart rate without affecting atrioventricular conduction. Ivabradine may be a valuable option in treatment of patients with atrioventricular conduction disturbances. |
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Keywords: | Heart Failure Ivabradine sinus tachycardia AICD Atrioventricular Block |
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