The article includes effect of heart rate on cardiovascular disease, heart rate and coronary artery disease, heart rate control in ischemic heart disease patient with heart failure.
KIỂM SỐT NHỊP Ở BN CĨ BTTMCB KÈM SUY TIM HEART RATE CONTROL IN IHD PATIENTS WITH HF ĐỖ Thị Nam Phương, MD, PhD Viện tim TP HCM Effect of heart rate on cardiovascular disease F Custodis et al Journal of Cardiology 62 (2013) 183–187 Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 Effect of heart rate on cardiovascular disease Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 Effect of heart rate on cardiovascular disease Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 Effect of heart rate on cardiovascular disease Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 Heart rate and coronary artery disease Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 Heart rate and coronary artery disease Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 Heart rate and coronary artery disease Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 Heart rate and Heart failure? Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 Kiểm sốt nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 10 1,956 patients with CHF - sinus rhythm, - NYHA class II–IV, - Resting HR ≥ 70/75 bpm Ivabradine in flexible dose Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 months - Clinical documented - EF - QoL (EQ-5D) 18 - ≥ 18 yr HF with EF ≤ 35% Sinus rhythm ≥ 70 pbm Optimized HF treatment Stable symptomatic > 4w Kiểm sốt nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 19 -18% -26% Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 20 -26% Kiểm sốt nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 21 Heart rate control in ischemic heart disease patient with heart failure? Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 22 - ≥ 55 yr (≥ 18 yr If diabetic) CAD EF < 40% & EDLV > 56mm Sinus rhythm ≥ 60 pbm Conventional treatment Stable symptomatic > months Kiểm sốt nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 23 admission to hospital for new-onset or worsening heart failure Kiểm sốt nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 CV death or admission to hospital for new-onset or worsening HF 24 admission to hospital for acute MI or unstable angina -22% -30% Prespecified subgroup with heart rate ≥ 70 bpm Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 25 Kiểm sốt nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 26 Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 27 Control heart rate in IHD patient with heart failure Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 28 Sripal Bangalore et al European Heart Journal (2010) 31 , 552–560 Kiểm sốt nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 29 Control heart rate in IHD patient with heart failure SINUS RHYTHM IHD patients with EF < 40% Control HR < 70 pbm Benefit in CAD outcomes Benefit in HF outcomes IHD patients with EF ≥40% Control HR < 70 pbm Not Benefit in CAD outcomes Kiểm sốt nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 30 Xin chân thành cảm ơn ! Kiểm sốt nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 31 Control heart rate in IHD patient with heart failure ATRIAL FIBRILLATION Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 32 ... 29 Control heart rate in IHD patient with heart failure SINUS RHYTHM IHD patients with EF < 40% Control HR < 70 pbm Benefit in CAD outcomes Benefit in HF outcomes IHD patients with EF ≥40% Control. .. (EQ-5D) 17 1,956 patients with CHF - sinus rhythm, - NYHA class II–IV, - Resting HR ≥ 70/75 bpm Ivabradine in flexible dose Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 months - Clinical documented... 21 Heart rate control in ischemic heart disease patient with heart failure? Kiểm soát nhịp BN có BTTMCB kèm Suy tim – 09/ 2017 22 - ≥ 55 yr (≥ 18 yr If diabetic) CAD EF < 40% & EDLV > 56mm Sinus