Table 2.
Authors | Experimental / Clinical protocol | Major findings |
---|---|---|
Verkerk et al. [64] | SAN cells from control rabbits versus rabbits with volume and pressure overload-induced heart failure | Increased intrinsic CL and decreased diastolic depolarization rate, associated with a reduced density of If. |
Zorn-Pauly and colleagues [66] | Effects of LPS on If in human myocytes isolated from atrial appendages of patients undergoing open-heart surgery. | Voltage-dependency of If activation was
shifted to more negative potentials. Reduced response of IBI fluctuations to ANS stimuli after LPS-induced If impairment |
Joannides et al. [68] | Healthy volunteers during tilt and exercise. | Ivabradien, a new selective If current blocker at the level of SAN, significantly decreased LF/HF ratio |
BEAUTIfUL trial [72,73] | 10.917 patients with CAD, LVEF < 40% and heart rate ≥ 60 beats/min | Ivabradien in patients with a heart rate of >70 beats/min decreased admission to the hospital for fatal and non-fatal myocardial infarction |
MODIf Y trial [91] | Effects of Ivabradien in 70 critically ill patients with multiple organ dysfunction syndrome, with heart rate ≥ 90 beat/min and contradiction to beta-blockers | (still ongoing) |
Schmidt and colleagues [92] | Impact of LPS upon HRV (SDNN, RMSSD), in monolayers of spontaneously contracting rat neonatal ventricular cardiomyocytes | 1 µgr/mL of LPS significantly reduced SDNN, RMSSD and pNN50 |
Klöckner et al [94] | Transfected HEK cells with cDNA encoding the HCN2 channel proteins and incubated with LPS | Decrease in activation of If with reduced steepness of diastolic depolarization, occured within approximately 8 seconds |