Trending Topic

3 mins

Trending Topic

Developed by Touch
Mark CompleteCompleted
BookmarkBookmarked

It is with pride and gratitude that we reflect on the remarkable 10-year journey of European Journal of Arrhythmia & Electrophysiology. With the vital contributions of all of our esteemed authors, reviewers and editorial board members, the journal has served as a platform for groundbreaking research, clinical insights and news that have helped shape the […]

Ranolazine preserves and improves left ventricular ejection fraction and autonomic measures when added to guideline-driven therapy in chronic heart failure

Gary L. Murray, Joseph Colombo
Share
Facebook
X (formerly Twitter)
LinkedIn
Via Email
Mark CompleteCompleted
BookmarkBookmarked
Copy LinkLink Copied
Download as PDF
Published Online: Aug 16th 2018 Heart International. 2014;9(2):66-73 DOI: https://doi.org/10.5301/heartint.5000219
Select a Section…
1

Abstract

Overview

Background. Ranolazine (RAN) reduces cardiac sodium channel 1.5’s late sodium current in congestive heart failure
(CHF), reducing myocardial calcium overload, potentially improving left ventricular (LV) function. RAN blocks neuronal
sodium channel 1.7, potentially altering parasympathetic and sympathetic (P&S) activity. The effects of RAN on
LV ejection fraction (LVEF) and P&S function in CHF were studied.
Methods. Matched CHF patients were given open-label RAN (1000 mg po-bid) added to guideline-driven therapy
(RANCHF, 41 systolic, 13 diastolic) or no adjuvant therapy (control, NORANCHF, 43 systolic, 12 diastolic). Echocardiographic
LVEF and P&S measures were obtained at baseline and follow-up (mean 23.7 months).
Results. LVEF increased in 70% of RANCHF patients, an average of 11.3 units. Mean LVEF remained unchanged
in NORANCHF patients. P&S measures indicated cardiovascular autonomic neuropathy (P≤0.1 bpm2) in 20% of
NORANCHF patients at baseline and in 29% at follow-up (increasing in both groups). At baseline, 28% of patients
had high sympathovagal balance (SB), RAN normalized SB over 50% of these; in contrast, the NORANCHF group
had a 20% increase in patients with high SB.
Conclusions. RAN preserves or improves LVEF and decreases high SB in CHF.

Keywords

Congestive heart failure, Left ventricular ejection fraction, Parasympathetic function, Patient outcomes, Ranolazine, Sympathetic function

2

Article Information

Disclosure

Financial support: No grants or funding have been received for this
study.

Correspondence

Gary L. Murray Director, The Heart and Vascular Institute 7205 Wolf River Blvd Germantown TN, 38138, USA drglmurray@hotmail.com

3

Further Resources

Share
Facebook
X (formerly Twitter)
LinkedIn
Via Email
Mark CompleteCompleted
BookmarkBookmarked
Copy LinkLink Copied
Download as PDF
Close Popup