Mitral Stenosis
Conditions
Brief summary
The purpose of this study is to study the effect of Ivabradine vs Atenolol on heart rate and effort tolerance in patients with mild to moderate mitral stenosis and normal sinus rhythm.
Interventions
Ivabradine 5 mg BId for 4 weeks
50 mg od for 4 weeks
Sponsors
Study design
Eligibility
Inclusion criteria
1. Mild to moderate mitral stenosis (Mitral valve area: 1.0 cm2 - 2.0 cm2 on echocardiography) with normal sinus rhythm 2. Age \>18 years 3. Need for rate control therapy for symptoms
Exclusion criteria
1. Atrial fibrillation 2. Other significant valvular lesions (More than mild AS/AR/MR) 3. Denial of consent 4. Unable to do TMT/Contraindication for TMT 5. Need for surgical treatment or BMV 6. Presence of significant non-cardiac co-morbidities 7. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in effort tolerance ( in minutes/Mets) from baseline with the study drugs at the end of stipulated 4 weeks | 4 weeks |
Countries
India