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September 1, 2013Global Cardiology Science and PracticeOpen Access

Inhibition of the late sodium current (INaL) with agents like ranolazine offers a potential therapeutic approach to address arrhythmogenesis and diastolic dysfunction in heart failure and hypertrophic cardiomyopathy.

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Population

Healthy and diseased cardiomyocytes, specifically focusing on heart failure and hypertrophic cardiomyopathy

Design

Review

Key result

Inhibition of the late sodium current (INaL) with agents like ranolazine offers a potential therapeutic approach to address arrhythmogenesis and diastolic dysfunction in heart failure and hypertrophic cardiomyopathy.

Authors

RCRaffaele CoppiniCFCecilia FerrantiniLMLuca Mazzoni

Discussion

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Member takes

Overview

May support INaL inhibition trials in HF and HCM; hypothesis-generating until randomized outcome data emerge.

Structured PICO

P
Population
Healthy and diseased cardiomyocytes, specifically focusing on heart failure and hypertrophic cardiomyopathy
I
Intervention
Late sodium current (INaL) inhibitors (e.g., ranolazine)

Intracellular sodium overload, driven by enhanced late sodium current, contributes to arrhythmogenesis and contractile dysfunction in heart failure and hypertrophic cardiomyopathy, making it a promising therapeutic target.

Cite This Study

Coppini et al. (2013) conducted a review in Heart failure and hypertrophic cardiomyopathy. Late sodium current (INaL) inhibitors (e.g., ranolazine) was evaluated. Inhibition of the late sodium current (INaL) with agents like ranolazine offers a potential therapeutic approach to address arrhythmogenesis and diastolic dysfunction in heart failure and hypertrophic cardiomyopathy.

synapsesocial.com/papers/6a0ea628e29b511e9f228e8ahttps://doi.org/10.5339/gcsp.2013.30
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Molecular Control of Cardiac Sodium Homeostasis in Health and Disease2006 · 50 citations
  2. 2Role of [Na+]i and the emerging involvement of the late sodium current in the pathophysiology of cardiovascular disease2006 · 13 citations
  3. 3Sodium and the heart: a hidden key factor in cardiac regulation2003 · 29 citations
  4. 4Myocyte [Na+]i Dysregulation in Heart Failure and Diabetic Cardiomyopathy2018 · 35 citations
  5. 5Cardiac Myocytes Ca2+ and Na+ Regulation in Normal and Failing Hearts2006 · 185 citations