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Effects of ivabradine and atenolol on heart rate and heart rate variability in healthy cats over a 24 h period: A pilot study

Background Ivabradine is used to treat tachycardia; unlike atenolol, it does not affect blood pressure or myocardial contractility. This study compared the impact of ivabradine and atenolol on heart rate (HR) and HR variability (HRV) during a 24 h period, feeding and sleeping times, via a Holter ele...

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Published in:Veterinary record open 2022-12, Vol.9 (1), p.e28-n/a
Main Authors: Ogawa, Mizuki, Kawamura, Ayano, Akabane, Ryota, Sakatani, Atsushi, Miyakawa, Hirosumi, Hsu, Huai‐Hsun, Miyagawa, Yuichi, Takemura, Naoyuki
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creator Ogawa, Mizuki
Kawamura, Ayano
Akabane, Ryota
Sakatani, Atsushi
Miyakawa, Hirosumi
Hsu, Huai‐Hsun
Miyagawa, Yuichi
Takemura, Naoyuki
description Background Ivabradine is used to treat tachycardia; unlike atenolol, it does not affect blood pressure or myocardial contractility. This study compared the impact of ivabradine and atenolol on heart rate (HR) and HR variability (HRV) during a 24 h period, feeding and sleeping times, via a Holter electrocardiogram in healthy cats. We hypothesised that ivabradine and atenolol would lower the HRs equally well, even at times of excitement and rest, such as during feeding and sleep; that ivabradine, unlike atenolol, would have an effect on HRV. Methods Five clinically healthy cats were used in the prospective blinded crossover study receiving 3 days of ivabradine (0.30 mg/kg per os twice daily) followed by atenolol (6.25 mg/cat per os twice daily, range 1.3–2.0 mg/kg) or receiving atenolol followed by ivabradine. A placebo period was initiated before the start of the crossover test, data obtained during that period were used as a baseline (BL). Evaluation parameters included HR and HRV, for the whole 24 h period and for feeding and sleeping times, comparing the effect of ivabradine and atenolol with BL. Results The HR for the whole 24 h, feeding and sleeping times, were significantly lower with ivabradine and atenolol, compared to BL (p 
doi_str_mv 10.1002/vro2.28
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This study compared the impact of ivabradine and atenolol on heart rate (HR) and HR variability (HRV) during a 24 h period, feeding and sleeping times, via a Holter electrocardiogram in healthy cats. We hypothesised that ivabradine and atenolol would lower the HRs equally well, even at times of excitement and rest, such as during feeding and sleep; that ivabradine, unlike atenolol, would have an effect on HRV. Methods Five clinically healthy cats were used in the prospective blinded crossover study receiving 3 days of ivabradine (0.30 mg/kg per os twice daily) followed by atenolol (6.25 mg/cat per os twice daily, range 1.3–2.0 mg/kg) or receiving atenolol followed by ivabradine. A placebo period was initiated before the start of the crossover test, data obtained during that period were used as a baseline (BL). Evaluation parameters included HR and HRV, for the whole 24 h period and for feeding and sleeping times, comparing the effect of ivabradine and atenolol with BL. Results The HR for the whole 24 h, feeding and sleeping times, were significantly lower with ivabradine and atenolol, compared to BL (p &lt; 0.05). The HRV for the whole 24 h and sleeping time were significantly higher after ivabradine compared with BL and after atenolol. Conclusions In healthy cats, ivabradine and atenolol significantly reduced the HR regardless of excitement and rest; their effects were comparable. Ivabradine significantly increased HRV in comparison to BL whereas atenolol did not.</description><identifier>ISSN: 2399-2050</identifier><identifier>ISSN: 2052-6113</identifier><identifier>EISSN: 2052-6113</identifier><identifier>DOI: 10.1002/vro2.28</identifier><identifier>PMID: 35154785</identifier><language>eng</language><publisher>United States: Blackwell Publishing Ltd</publisher><subject>Blood pressure ; Cardiomyopathy ; Cats ; Electrocardiography ; Heart failure ; Heart rate ; Ischemia ; Laboratory animals ; Nervous system ; Original Research ; Pacemakers ; Veterinary medicine</subject><ispartof>Veterinary record open, 2022-12, Vol.9 (1), p.e28-n/a</ispartof><rights>2022 The Authors. published by John Wiley &amp; Sons Ltd on behalf of British Veterinary Association.</rights><rights>2022 The Authors. Veterinary Record Open published by John Wiley &amp; Sons Ltd on behalf of British Veterinary Association.</rights><rights>2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3928-1d9b9bacf5405be414f58330b2e78ef89aea88d1a6864e270b35a63a71919ee33</cites><orcidid>0000-0001-5767-8363</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2890096608/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2890096608?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,11562,25753,27924,27925,37012,37013,44590,46052,46476,53791,53793,74998</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35154785$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ogawa, Mizuki</creatorcontrib><creatorcontrib>Kawamura, Ayano</creatorcontrib><creatorcontrib>Akabane, Ryota</creatorcontrib><creatorcontrib>Sakatani, Atsushi</creatorcontrib><creatorcontrib>Miyakawa, Hirosumi</creatorcontrib><creatorcontrib>Hsu, Huai‐Hsun</creatorcontrib><creatorcontrib>Miyagawa, Yuichi</creatorcontrib><creatorcontrib>Takemura, Naoyuki</creatorcontrib><title>Effects of ivabradine and atenolol on heart rate and heart rate variability in healthy cats over a 24 h period: A pilot study</title><title>Veterinary record open</title><addtitle>Vet Rec Open</addtitle><description>Background Ivabradine is used to treat tachycardia; unlike atenolol, it does not affect blood pressure or myocardial contractility. This study compared the impact of ivabradine and atenolol on heart rate (HR) and HR variability (HRV) during a 24 h period, feeding and sleeping times, via a Holter electrocardiogram in healthy cats. We hypothesised that ivabradine and atenolol would lower the HRs equally well, even at times of excitement and rest, such as during feeding and sleep; that ivabradine, unlike atenolol, would have an effect on HRV. Methods Five clinically healthy cats were used in the prospective blinded crossover study receiving 3 days of ivabradine (0.30 mg/kg per os twice daily) followed by atenolol (6.25 mg/cat per os twice daily, range 1.3–2.0 mg/kg) or receiving atenolol followed by ivabradine. A placebo period was initiated before the start of the crossover test, data obtained during that period were used as a baseline (BL). Evaluation parameters included HR and HRV, for the whole 24 h period and for feeding and sleeping times, comparing the effect of ivabradine and atenolol with BL. Results The HR for the whole 24 h, feeding and sleeping times, were significantly lower with ivabradine and atenolol, compared to BL (p &lt; 0.05). The HRV for the whole 24 h and sleeping time were significantly higher after ivabradine compared with BL and after atenolol. Conclusions In healthy cats, ivabradine and atenolol significantly reduced the HR regardless of excitement and rest; their effects were comparable. 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unlike atenolol, it does not affect blood pressure or myocardial contractility. This study compared the impact of ivabradine and atenolol on heart rate (HR) and HR variability (HRV) during a 24 h period, feeding and sleeping times, via a Holter electrocardiogram in healthy cats. We hypothesised that ivabradine and atenolol would lower the HRs equally well, even at times of excitement and rest, such as during feeding and sleep; that ivabradine, unlike atenolol, would have an effect on HRV. Methods Five clinically healthy cats were used in the prospective blinded crossover study receiving 3 days of ivabradine (0.30 mg/kg per os twice daily) followed by atenolol (6.25 mg/cat per os twice daily, range 1.3–2.0 mg/kg) or receiving atenolol followed by ivabradine. A placebo period was initiated before the start of the crossover test, data obtained during that period were used as a baseline (BL). Evaluation parameters included HR and HRV, for the whole 24 h period and for feeding and sleeping times, comparing the effect of ivabradine and atenolol with BL. Results The HR for the whole 24 h, feeding and sleeping times, were significantly lower with ivabradine and atenolol, compared to BL (p &lt; 0.05). The HRV for the whole 24 h and sleeping time were significantly higher after ivabradine compared with BL and after atenolol. Conclusions In healthy cats, ivabradine and atenolol significantly reduced the HR regardless of excitement and rest; their effects were comparable. Ivabradine significantly increased HRV in comparison to BL whereas atenolol did not.</abstract><cop>United States</cop><pub>Blackwell Publishing Ltd</pub><pmid>35154785</pmid><doi>10.1002/vro2.28</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-5767-8363</orcidid><oa>free_for_read</oa></addata></record>
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subjects Blood pressure
Cardiomyopathy
Cats
Electrocardiography
Heart failure
Heart rate
Ischemia
Laboratory animals
Nervous system
Original Research
Pacemakers
Veterinary medicine
title Effects of ivabradine and atenolol on heart rate and heart rate variability in healthy cats over a 24 h period: A pilot study
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