Comparative effectiveness of metoprolol, ivabradine, and its combination in the management of inappropriate sinus tachycardia in coronary artery bypass graft patients (Record no. 15866)

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003 - CONTROL NUMBER IDENTIFIER
control field OSt
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20220101093341.0
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 220101b xxu||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency AIKTC-KRRC
Transcribing agency AIKTC-KRRC
100 ## - MAIN ENTRY--PERSONAL NAME
9 (RLIN) 15288
Author Bhatt, Parloop
245 ## - TITLE STATEMENT
Title Comparative effectiveness of metoprolol, ivabradine, and its combination in the management of inappropriate sinus tachycardia in coronary artery bypass graft patients
250 ## - EDITION STATEMENT
Volume, Issue number Vol.53(4), July-Aug
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Place of publication, distribution, etc. Mumbai
Name of publisher, distributor, etc. Wolter Kluwer
Year 2021
300 ## - PHYSICAL DESCRIPTION
Pagination 264-269p.
520 ## - SUMMARY, ETC.
Summary, etc. BACKGROUND: Inappropriate sinus tachycardia (IST) is an arrhythmic complication observed<br/>after coronary artery bypass graft (CABG) surgery which left untreated, commonly increases<br/>chances of postoperative stroke. The primary study objective was comparing effectiveness of beta<br/>blocker‑metoprolol; a specific If blocker‑ivabradine and its combination in patients who develop IST<br/>as a complication following CABG.<br/>MATERIALS AND METHODS:An open‑labeled, investigator initiated, clinical study was conducted<br/>on 150 patients who developed IST (heart rate [HR] >100 beats/min) following elective CABG surgery.<br/>The patients were randomized into three treatment groups. Group I – received ivabradine (5 mg),<br/>Group II – metoprolol (25 mg), and Group III – ivabradine (5 mg) and metoprolol (25 mg). Treatment<br/>was given orally, twice a day for 7 days in all the three groups postoperatively. Primary endpoints<br/>were comparative effectiveness in HR and blood pressure reduction following treatment.<br/>RESULTS: IST was diagnosed by an electrocardiogram (12‑lead) considering morphological features<br/>of P‑wave and with 32% increase from baseline HR in all the three groups. Compared to IST arrthymic<br/>rate, HR was reduced in all groups following respective treatment (P = 0.05). Reduction in HR was<br/>significant (P < 0.05) in combination group followed by ivabradine which was significantly greater than<br/>metoprolol treated group. None of the treatments clinically changed the systolic, diastolic and mean<br/>blood pressure till discharge. No surgery/treatment‑related complications were observed in any groups.<br/>CONCLUSION: Ivabradine stands as a pharmacological option for controlling HR and rhythm without<br/>associated side effects in postoperative CABG patients with IST
650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM
9 (RLIN) 4774
Topical term or geographic name entry element PHARMACOLOGY
700 ## - ADDED ENTRY--PERSONAL NAME
9 (RLIN) 15289
Co-Author Bhavsar, Niren
773 0# - HOST ITEM ENTRY
Place, publisher, and date of publication Andheri - Mumbai Wolters Kluwer India Private Limited
Title Indian Journal of Pharmacology
International Standard Serial Number 0253-7613
856 ## - ELECTRONIC LOCATION AND ACCESS
URL https://ijp-online.com/temp/IndianJPharmacol534264-1426397_035743.pdf
Link text Click here
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    Dewey Decimal Classification     School of Pharmacy School of Pharmacy Archieval Section 01/01/2022   2022-0001 01/01/2022 01/01/2022 Articles Abstract Database
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