Our mission is to become a worldwide reference for education in the field for all professionals involved in the process to disseminate knowledge & skills of Acute Cardiovascular Care.
Our mission is to promote excellence in clinical diagnosis, research, technical development, and education in cardiovascular imaging in Europe.
Our mission is to promote excellence in research, practice, education and policy in cardiovascular health, primary and secondary prevention.
Our mission is to reduce the burden of cardiovascular disease in Europe through percutaneous cardiovascular interventions.
Our mission is to improve the quality of life of the population by reducing the impact of cardiac rhythm disturbances and reduce sudden cardiac death.
Our mission is to improve quality of life and longevity, through better prevention, diagnosis and treatment of heart failure, including the establishment of networks for its management, education and research.
The ESC Working Groups' goal is to stimulate and disseminate scientific knowledge in different fields of cardiology.
The ESC Councils' goal is to share knowledge among medical professionals practising in specific cardiology domains.
OUR MISSION: TO REDUCE THE BURDEN OF CARDIOVASCULAR DISEASE
Dr. Felipe Martinez,
The session started with an excellent update about heart rate and cardiovascular function presented by Dr. Lopez Sendon from Spain. He emphasized the consistent evidence in the relationship between heart rate and outcomes in cardiovascular trials, in particular those studies in heart failure patients, where highest is heart rate worst is the prognosis. He also showed different mechanisms used by drugs reducing heart rate, most of them linked to oxygen consumption.
Dr. Uta Hoppe, from Cologne, analysed in a very detailed way, all others pathways used and produced by heart rate reduction in coronary patients. They include vessels elasticity, plaque stability, among others, but she also agreed on the crucial role of oxygen consumption.
The following presenter was Dr. Willem Remme from the Netherlands who reviewed all groups of drugs modulating heart rate and demonstrated that beta blockers and ivabradine are the most effective. The last one is being confirmed as a “pure heart rate reduction” compound.
Finally, Jeffrey Borer from USA made a very interesting comment about the implication of recent trials using ivabradine. He presented some new results of subgroups from the Shift study, demonstrating clear benefits in cardiac haemodynamic and quality of life. In summary it was a provocative session updating the growing importance of high heart rate as a maker of poor prognosis in cardiovascular diseases, mainly ischaemic disease and heart failure.
Emerging concepts on heart rate
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