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Transient heart rate reduction improves acute decompensated heart failure-induced left ventricular and coronary dysfunction.

Nicolas PeschanskiNajah HaroukiMatthieu SoulieMarianne LachauxLionel NicolIsabelle Remy-JouetJean-Paul HenryAnais DumesnilSylvanie RenetFrançoise FougerousseEbba BrakenhielmAntoine Ouvrard-PascaudChristian ThuillezVincent RichardJérôme RousselPaul Mulder
Published in: ESC heart failure (2021)
In a model mimicking human ADHF, early, but not delayed, transient HRR induced by the If current inhibitor S38844 opposes acute decompensation by preventing the decompensated-related aggravation of cardiovascular dysfunction as well as the development of pulmonary congestion, and these protective effects persist beyond the transient treatment. Whether early transient HRR induced by If current inhibitors or other bradycardic agents, i.e. beta-blockers, exerts beneficial effects in human ADHF warrants further investigation.
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