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Publication Name World Journal of Critical Care Medicine
Manuscript ID 111054
Country India
Category Critical Care Medicine
Manuscript Type Minireviews
Article Title Ivabradine in acute care: Revisiting the funny current in critical care context
Manuscript Source Invited Manuscript
All Author List Arun Mukesh, Ankur Sharma and Nikhil Kothari
Funding Agency and Grant Number
Corresponding Author Ankur Sharma, Additional Professor, Consultant, MD, Department of Trauma and Emergency (Anaesthesiology and Critical Care), All India Institute of Medical Sciences, Corresponding Author: Ankur Sharma, E-mail: <email>ankuranaesthesia@gmail.com</email>, Jodhpur 342008, Rājasthān, India. ankuranaesthesia@gmail.com
Key Words Ivabradine; Heart rate control; Tachycardia; Heart failure; Beta blocker; Acute care
Core Tip Ivabradine reduces heart rate by specifically inhibiting the funny current in the sinoatrial node, without impacting myocardial contractility or blood pressure. This distinctive characteristic renders it an appealing choice for critically sick patients for whom beta-blockers are contraindicated or poorly tolerated. Recent studies corroborate its significance in acute scenarios, including acute decompensated heart failure, acute coronary syndrome, and sepsis-induced tachycardia, where a higher heart rate exacerbates outcomes. This review looks at the mechanism of action, clinical uses, comparative effectiveness, and safety profile.
Citation Mukesh A, Sharma A, Kothari N. Ivabradine in acute care: Revisiting the funny current in critical care context. World J Crit Care Med 2025; In press
Received
2025-06-23 13:41
Peer-Review Started
2025-06-23 13:41
To Make the First Decision
Return for Revision
2025-06-27 05:42
Revised
2025-07-08 08:36
Second Decision
2025-10-09 02:35
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief
2025-10-10 06:54
Articles in Press
2025-10-10 06:54
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript
ISSN 2220-3141(online)
Open Access This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Copyright The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
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