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Should we SHIFT our thinking about digoxin? Observations on ivabradine and heart rate reduction in heart failure
Author(s) -
Davide Castagno,
Mark C. Petrie,
Brian Claggett,
John J.V. McMurray
Publication year - 2012
Publication title -
european heart journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.336
H-Index - 293
eISSN - 1522-9645
pISSN - 0195-668X
DOI - 10.1093/eurheartj/ehs004
Subject(s) - ivabradine , digoxin , medicine , heart failure , cardiology , heart rate , digitalis , ejection fraction , clinical endpoint , clinical trial , blood pressure
The importance of heart rate in the pathophysiology of heart failure with reduced LVEF has recently attracted attention. In particular, the findings of the Systolic Heart failure treatment with the I(f) inhibitor ivabradine Trial (SHIFT) have put special emphasis on heart rate reduction with ivabradine for improvement in clinical outcomes. Of course, there is a much older drug that reduces heart rate, i.e. digoxin.

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