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January 22, 2011AJP Heart and Circulatory Physiology

Ivabradine reduces heart rate while preserving metabolic fluxes and energy status of healthy normoxic working hearts

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Key result

Ivabradine (3 μM) significantly reduced heart rate by 35 ± 5% and increased stroke volume by 39 ± 9% while preserving energy substrate metabolism in ex vivo healthy normoxic working mouse hearts.

Why the study?

Does ivabradine reduce heart rate while preserving energy substrate metabolism compared to metoprolol in an ex vivo mouse heart model?

Population

Ex vivo healthy normoxic working mouse hearts (n=20; 10 controls, 10 ivabradine)

Comparison

Ivabradine (3 μM) with or without atrial pacing vs Control and metoprolol

Design

Preclinical

Authors

BLBenjamin LauzierCentre National de la Recherche ScientifiqueFVFanny VaillantUniversité de BordeauxRGRoselle GélinasMontreal Heart Institute

Discussion

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Implication

Ivabradine may preserve metabolism better than metoprolol in healthy hearts; leaves open translation to diseased or in vivo models.

Structured PICO

Does ivabradine reduce heart rate while preserving energy substrate metabolism compared to metoprolol in an ex vivo mouse heart model?

P
Population
Ex vivo healthy normoxic working mouse hearts perfused to evaluate the effects of ivabradine versus metoprolol on heart rate and metabolic fluxes.
I
Intervention
Ivabradine (3 μM) with or without atrial pacing
C
Comparator
Control (absence of ivabradine) and metoprolol (up to 40 μM)
O
Outcome
Myocardial contractility and metabolic fluxes using (13)C-labeled substrates (including heart rate, stroke volume, cardiac output, and glycolysis)surrogate

Ivabradine selectively reduces heart rate while preserving cardiac energy substrate metabolism in healthy working mouse hearts, unlike metoprolol which impairs both cardiac function and glycolysis.

Cite This Study

Lauzier et al. (2011) studied Healthy normoxic working hearts (n=20). Ivabradine vs. Control (absence of ivabradine) and Metoprolol was evaluated on Heart rate, stroke volume, and metabolic fluxes. Ivabradine (3 μM) significantly reduced heart rate by 35 ± 5% and increased stroke volume by 39 ± 9% while preserving energy substrate metabolism in ex vivo healthy normoxic working mouse hearts.

synapsesocial.com/papers/6a97ecaf618eaafe842d3b98https://doi.org/10.1152/ajpheart.01034.2010
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Also Consider

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

  1. 1Heart rate reduction with ivabradine improves energy metabolism and mechanical function of isolated ischaemic rabbit heart2009 · 47 citations
  2. 2Beneficial effects of delayed ivabradine treatment on cardiac anatomical and electrical remodeling in rat severe chronic heart failure2008 · 88 citations
  3. 3Long-Term Heart Rate Reduction Induced by the Selective <i>I</i> <sub>f</sub> Current Inhibitor Ivabradine Improves Left Ventricular Function and Intrinsic Myocardial Structure in Congestive Heart Failure2004 · 295 citations
  4. 4Contributions of heart rate and contractility to myocardial oxygen balance during exercise2003 · 149 citations
  5. 5Heart Rate Reduction for 12 Months With Ivabradine Reduces Left Ventricular Mass in Cardiac Allograft Recipients2009 · 34 citations