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. 2020 Nov 4;2020(11):CD013004. doi: 10.1002/14651858.CD013004.pub2

Abdel 2011.

Study characteristics
Methods Study design: RCT
Unit of randomisation: No information
Total duration of study: 12 weeks
Run‐in period: No information
Intervention time: No information
Follow‐up: No information
Setting: Beni‐Suef University, Beni‐Suef, Egypt
Participants Type of heart failure: CHF
N = 100 participants (ivabradine: 50; placebo: 50)
Mean age: No information
Gender: No information
Severity of condition:
  • LV dysfunction

  • EF < 35%


Inclusion criteria:
  • Sinus rhythm

  • HR > 80 bpm

  • Symptomatic heart failure (NYHA class II and III)

  • Left ventricular systolic dysfunction (EF < 35%)

  • Patients in sinus rhythm (HR > 80 bpm) with symptomatic heart failure (NYHA class II and III) despite optimal medical therapy who were proved to have left ventricular systolic dysfunction (EF < 35%) secondary to ischaemic or idiopathic cardiomyopathy


Exclusion criteria: No information
Withdrawals: No information
Interventions Intervention: Ivabradine max. 5 to 7.5 mg twice a day
Comparison: Placebo
Concomitant medications: No information
Excluded medications: No information
Outcomes Outcomes and time points measured in the study:
[Day 0, 12 weeks]
  • Change in the exercise duration on treadmill

  • Change in echocardiographic parameters


Conclusion: "Ivabradine therapy for 12 weeks when added to optimum medical therapy in patients with left ventricular systolic dysfunction secondary to ischaemic or idiopathic cardiomyopathy increased significantly the exercise duration and functional capacity. It also decreased significantly the resting HR and peak HR during exercise testing with trends towards increase in (2D) EF but it did not reach statistical significance."
Notes Funding for trial: No information
Notable conflicts of interest of authors: No information
Contact to authors/unpublished data: We contacted Yasser A Abdel‐Hadi via email on 22 November 2018 to inquire about funding, way of randomisation, age, sex, duration IP, and missing data. We did not receive an answer.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Insufficient information to base judgement
Allocation concealment (selection bias) Unclear risk Insufficient information to base judgement
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Insufficient information to base judgement
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Insufficient information to base judgement
Incomplete outcome data (attrition bias)
All outcomes Unclear risk Insufficient information to base judgement
Selective reporting (reporting bias) Unclear risk Insufficient information to base judgement
Other bias Unclear risk Insufficient information to base judgement