Management of Stable Angina with Ivabradine as Safe Alternative to Patients with Myasthenia Gravis

Management of cardiac symptoms in myasthenia gravis (MG) patients can be challenging. The aim of this report is to describe the safe use of ivabradine for stable angina in MG patients. A 48 y.o. woman, with MG diagnosis, presented stable angina. Therapies choices were reduced considering concomitant...

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Main Authors: Giuliano Ohde Dalledone, Gustavo Lenci Marques, Renata Dal-Prá Ducci, Arnaldo Laffitte Stier Junior, Cláudia Suemi Kamoi Kay, Lineu Cesar Werneck, Paulo José Lorenzoni, Rosana Herminia Scola
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Neurological Medicine
Online Access:http://dx.doi.org/10.1155/2016/3589204
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author Giuliano Ohde Dalledone
Gustavo Lenci Marques
Renata Dal-Prá Ducci
Arnaldo Laffitte Stier Junior
Cláudia Suemi Kamoi Kay
Lineu Cesar Werneck
Paulo José Lorenzoni
Rosana Herminia Scola
author_facet Giuliano Ohde Dalledone
Gustavo Lenci Marques
Renata Dal-Prá Ducci
Arnaldo Laffitte Stier Junior
Cláudia Suemi Kamoi Kay
Lineu Cesar Werneck
Paulo José Lorenzoni
Rosana Herminia Scola
author_sort Giuliano Ohde Dalledone
collection DOAJ
description Management of cardiac symptoms in myasthenia gravis (MG) patients can be challenging. The aim of this report is to describe the safe use of ivabradine for stable angina in MG patients. A 48 y.o. woman, with MG diagnosis, presented stable angina. Therapies choices were reduced considering concomitant disease as well as previous and unsuccessful cardiologic managements. Ivabradine showed unexpected results. The patient presented an improvement of neurological and cardiac symptoms, bringing ivabradine as one more therapeutic option to similar patients. In this report we recommend ivabradine as an effective and safe drug for treatment of stable angina in MG patients.
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institution Kabale University
issn 2090-6668
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publishDate 2016-01-01
publisher Wiley
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series Case Reports in Neurological Medicine
spelling doaj-art-f90fd4298f574ccc9769addfdb21121e2025-02-03T01:30:00ZengWileyCase Reports in Neurological Medicine2090-66682090-66762016-01-01201610.1155/2016/35892043589204Management of Stable Angina with Ivabradine as Safe Alternative to Patients with Myasthenia GravisGiuliano Ohde Dalledone0Gustavo Lenci Marques1Renata Dal-Prá Ducci2Arnaldo Laffitte Stier Junior3Cláudia Suemi Kamoi Kay4Lineu Cesar Werneck5Paulo José Lorenzoni6Rosana Herminia Scola7Service of Cardiology, Department of Internal Medicine, Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba, PR, BrazilService of Cardiology, Department of Internal Medicine, Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba, PR, BrazilService of Neuromuscular Disorders, Division of Neurology, Department of Internal Medicine, Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba, PR, BrazilService of Cardiology, Department of Internal Medicine, Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba, PR, BrazilService of Neuromuscular Disorders, Division of Neurology, Department of Internal Medicine, Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba, PR, BrazilService of Neuromuscular Disorders, Division of Neurology, Department of Internal Medicine, Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba, PR, BrazilService of Neuromuscular Disorders, Division of Neurology, Department of Internal Medicine, Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba, PR, BrazilService of Neuromuscular Disorders, Division of Neurology, Department of Internal Medicine, Hospital de Clínicas, Universidade Federal do Paraná (UFPR), Curitiba, PR, BrazilManagement of cardiac symptoms in myasthenia gravis (MG) patients can be challenging. The aim of this report is to describe the safe use of ivabradine for stable angina in MG patients. A 48 y.o. woman, with MG diagnosis, presented stable angina. Therapies choices were reduced considering concomitant disease as well as previous and unsuccessful cardiologic managements. Ivabradine showed unexpected results. The patient presented an improvement of neurological and cardiac symptoms, bringing ivabradine as one more therapeutic option to similar patients. In this report we recommend ivabradine as an effective and safe drug for treatment of stable angina in MG patients.http://dx.doi.org/10.1155/2016/3589204
spellingShingle Giuliano Ohde Dalledone
Gustavo Lenci Marques
Renata Dal-Prá Ducci
Arnaldo Laffitte Stier Junior
Cláudia Suemi Kamoi Kay
Lineu Cesar Werneck
Paulo José Lorenzoni
Rosana Herminia Scola
Management of Stable Angina with Ivabradine as Safe Alternative to Patients with Myasthenia Gravis
Case Reports in Neurological Medicine
title Management of Stable Angina with Ivabradine as Safe Alternative to Patients with Myasthenia Gravis
title_full Management of Stable Angina with Ivabradine as Safe Alternative to Patients with Myasthenia Gravis
title_fullStr Management of Stable Angina with Ivabradine as Safe Alternative to Patients with Myasthenia Gravis
title_full_unstemmed Management of Stable Angina with Ivabradine as Safe Alternative to Patients with Myasthenia Gravis
title_short Management of Stable Angina with Ivabradine as Safe Alternative to Patients with Myasthenia Gravis
title_sort management of stable angina with ivabradine as safe alternative to patients with myasthenia gravis
url http://dx.doi.org/10.1155/2016/3589204
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