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Novel Use of Ivabradine for Persistent Sinus Tachycardia in a Patient on Extracorporeal Life Support With Right Ventricular Dysfunction.
Akopyan, Kristina; Shah, Aman; Rackauskas, Mindaugas; Gries, Cynthia; Emtiazjoo, Amir; Saha, Biplab K.
Afiliación
  • Akopyan K; Internal Medicine, University of Florida, Gainesville, USA.
  • Shah A; Cardiology, University of Florida, Gainesville, USA.
  • Rackauskas M; Thoracic Surgery, University of Florida, Gainesville, USA.
  • Gries C; Lung Transplant, University of Florida, Gainesville, USA.
  • Emtiazjoo A; Lung Transplant, University of Florida, Gainesville, USA.
  • Saha BK; Lung Transplant, University of Florida, Gainesville, USA.
Cureus ; 16(6): e62638, 2024 Jun.
Article en En | MEDLINE | ID: mdl-38903976
ABSTRACT
Persistent sinus tachycardia (pST) has been associated with adverse cardiovascular events in critically ill patients. Pharmacological control of heart rate with negative inotropic agents has proven to be safe but could be potentially dangerous in patients with concomitant right ventricular (RV) dysfunction. Ivabradine, a medication devoid of negative inotropy, could be a potentially safe solution for this patient population when adequate heart rate control is desired. A 17-year-old male with a history of vaping developed acute respiratory distress syndrome (ARDS) and RV dysfunction, requiring extra corporal life support (ECLS). He suffered from pST. Given his RV dysfunction, a beta-blocker was avoided, and ivabradine was used safely with improvement of his pST. This case demonstrates the efficacy of ivabradine to reduce heart rate and avoid the use of beta-blockers for patients with RV dysfunction, which could be detrimental. Ivabradine was shown to lower the heart rate without altering hemodynamic parameters.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Cureus Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos