Ivabradine in the treatment of non‐paroxysmal junctional tachycardia with interference atrioventricular dissociation: A case report
Abstract Ivabradine reduces the heart rate by selectively inhibiting the If current of the sinoatrial node, mainly for the treatment of chronic heart failure with decreased left ventricular systolic function and inappropriate sinus tachycardia, but the inhibitory effect on the atrioventricular node...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-07-01
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| Series: | Annals of Noninvasive Electrocardiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1111/anec.13064 |
| _version_ | 1797782975370231808 |
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| author | Shuo Ying Jing Zhang Nai‐kuan Fu Peng Zhang |
| author_facet | Shuo Ying Jing Zhang Nai‐kuan Fu Peng Zhang |
| author_sort | Shuo Ying |
| collection | DOAJ |
| description | Abstract Ivabradine reduces the heart rate by selectively inhibiting the If current of the sinoatrial node, mainly for the treatment of chronic heart failure with decreased left ventricular systolic function and inappropriate sinus tachycardia, but the inhibitory effect on the atrioventricular node is rarely reported. The patient was admitted to hospital mainly because of intermittent chest pain for 7 years, which worsened for 10 days. Admission electrocardiogram (ECG) considered sinus tachycardia, with QS wave and T wave inversion in II, III, aVF, V3R‐V5R, V4–V9 leads, and non‐paroxysmal junctional tachycardia (NPJT) with interference atrioventricular dissociation. After treatment with ivabradine the ECG returned to normal conduction sequence. NPJT with interference atrioventricular dissociation is a fairly rare electrocardiographic phenomenon. This case reports for the first time that ivabradine is used in the treatment of NPJT with interference atrioventricular dissociation. It is speculated that ivabradine has a potential inhibitory effect on the atrioventricular node. |
| first_indexed | 2024-03-13T00:19:32Z |
| format | Article |
| id | doaj.art-9729dc007f4d434392f0294785719356 |
| institution | Directory Open Access Journal |
| issn | 1082-720X 1542-474X |
| language | English |
| last_indexed | 2024-03-13T00:19:32Z |
| publishDate | 2023-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Annals of Noninvasive Electrocardiology |
| spelling | doaj.art-9729dc007f4d434392f02947857193562023-07-11T16:43:54ZengWileyAnnals of Noninvasive Electrocardiology1082-720X1542-474X2023-07-01284n/an/a10.1111/anec.13064Ivabradine in the treatment of non‐paroxysmal junctional tachycardia with interference atrioventricular dissociation: A case reportShuo Ying0Jing Zhang1Nai‐kuan Fu2Peng Zhang3Department of Cardiology Tianjin Chest Hospital Tianjin ChinaDepartment of Cardiology Tianjin Chest Hospital Tianjin ChinaDepartment of Cardiology Tianjin Chest Hospital Tianjin ChinaDepartment of Cardiology Tianjin Chest Hospital Tianjin ChinaAbstract Ivabradine reduces the heart rate by selectively inhibiting the If current of the sinoatrial node, mainly for the treatment of chronic heart failure with decreased left ventricular systolic function and inappropriate sinus tachycardia, but the inhibitory effect on the atrioventricular node is rarely reported. The patient was admitted to hospital mainly because of intermittent chest pain for 7 years, which worsened for 10 days. Admission electrocardiogram (ECG) considered sinus tachycardia, with QS wave and T wave inversion in II, III, aVF, V3R‐V5R, V4–V9 leads, and non‐paroxysmal junctional tachycardia (NPJT) with interference atrioventricular dissociation. After treatment with ivabradine the ECG returned to normal conduction sequence. NPJT with interference atrioventricular dissociation is a fairly rare electrocardiographic phenomenon. This case reports for the first time that ivabradine is used in the treatment of NPJT with interference atrioventricular dissociation. It is speculated that ivabradine has a potential inhibitory effect on the atrioventricular node.https://doi.org/10.1111/anec.13064acute myocardial infarctionatrioventricular nodeinterference atrioventricular dissociationivabradinenon‐paroxysmal junctional tachycardia |
| spellingShingle | Shuo Ying Jing Zhang Nai‐kuan Fu Peng Zhang Ivabradine in the treatment of non‐paroxysmal junctional tachycardia with interference atrioventricular dissociation: A case report Annals of Noninvasive Electrocardiology acute myocardial infarction atrioventricular node interference atrioventricular dissociation ivabradine non‐paroxysmal junctional tachycardia |
| title | Ivabradine in the treatment of non‐paroxysmal junctional tachycardia with interference atrioventricular dissociation: A case report |
| title_full | Ivabradine in the treatment of non‐paroxysmal junctional tachycardia with interference atrioventricular dissociation: A case report |
| title_fullStr | Ivabradine in the treatment of non‐paroxysmal junctional tachycardia with interference atrioventricular dissociation: A case report |
| title_full_unstemmed | Ivabradine in the treatment of non‐paroxysmal junctional tachycardia with interference atrioventricular dissociation: A case report |
| title_short | Ivabradine in the treatment of non‐paroxysmal junctional tachycardia with interference atrioventricular dissociation: A case report |
| title_sort | ivabradine in the treatment of non paroxysmal junctional tachycardia with interference atrioventricular dissociation a case report |
| topic | acute myocardial infarction atrioventricular node interference atrioventricular dissociation ivabradine non‐paroxysmal junctional tachycardia |
| url | https://doi.org/10.1111/anec.13064 |
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