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A Case of Atrial Tachycardia Treated with Ivabradine as Bridge to Ablation
Author(s) -
MELES ESTER,
CARBONE CLAUDIO,
MAGGIOLINI STEFANO,
MORETTI PAOLO,
DE CARLINI CATERINA C.,
GENTILE GAETANO,
GNECCHIRUSCONE TOMASO
Publication year - 2015
Publication title -
journal of cardiovascular electrophysiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.193
H-Index - 138
eISSN - 1540-8167
pISSN - 1045-3873
DOI - 10.1111/jce.12636
Subject(s) - ivabradine , medicine , cardiology , atrial fibrillation , tachycardia , atrial tachycardia , sinoatrial node , supraventricular tachycardia , atrial flutter , catheter ablation , sinus rhythm , ablation , heart rate , anesthesia , blood pressure
Ivabradine in Atrial Tachycardia Ivabradine is indicated in cardiac failure and ischemia to reduce sinus rate by inhibition of the pacemaker I(f) current in sinoatrial node. We report a case of an 18‐year‐old woman with left atrial tachyarrhythmia resistant to several antiarrhythmic drugs and to electric cardioversion who responded only to ivabradine, which significantly reduced heart rate without abolishing the arrhythmia itself. An ectopic focus in the ostium of left pulmonary veins was found and the patient was successfully ablated. We suggest that ivabradine might be therefore useful in the treatment of supraventricular tachyarrhythmias due to an enhanced automaticity.