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Updated: Aug 16, 2026

Benefits of Cardiac Resynchronization Therapy in an Asynchronous Heart Failure Model Induced by Left Bundle Branch Ablation and Rapid Pacing
Published on: December 11, 2017
[Cardiac glycosides in complex treatment of patients with heart failure and supraventricular arrhythmias]
Insights
Celanide, enalapril, and indapamide effectively treated heart failure (HF) and supraventricular arrhythmias. This combination improved patient hemodynamics, activity tolerance, and quality of life at a lower cost.
Area of Science:
- Cardiology
- Pharmacology
Background:
- Heart failure (HF) and supraventricular arrhythmias are common cardiovascular conditions.
- Effective treatment strategies are crucial for improving patient outcomes.
Purpose of the Study:
- To evaluate the efficacy of two drug combinations in patients with heart failure and supraventricular arrhythmias.
- To compare the effectiveness of atenolol + enalapril + indapamide versus celanide + enalapril + indapamide.
Main Methods:
- A study involving 106 patients with varying degrees of heart failure (NYHA FC II-III) and supraventricular arrhythmias.
- Patients were divided into two groups receiving different drug combinations for two months.
- Key parameters assessed included hemodynamics, activity tolerance, and quality of life.
Main Results:
- Both treatment regimens led to improvements in hemodynamics, increased activity tolerance, and enhanced quality of life.
- The combination of celanide + enalapril + indapamide demonstrated significant effectiveness in managing FC II-III HF with supraventricular arrhythmias.
- Treatment with celanide was associated with lower costs.
Conclusions:
- The drug combination of celanide + enalapril + indapamide is an effective therapeutic option for patients with heart failure and supraventricular arrhythmias.
- This combination offers a cost-effective alternative for managing these complex cardiovascular conditions.
Abstract:
The authors of the article studied potential of various drug combinations (atenolol + enalapril + indapamide, and celanid + enalapril + indapamide) in complex treatment of patients with heart failure (HF) and supraventricular arrhythmias. The subjects were 106 patients, of whom 74 had coronary heart disease, of whom 51 had old myocardial infarction, and 18 had undergone coronary artery bypass grafting. Dilatation cardiomyopathy was found in 8, aortomitral valvular disease--in 18, and combined mitral valvular disease--in 6 patients. 36 subjects had permanent atrial fibrillation, 48--a paroxysmal form of ciliary arrhythmia, 22--paroxysms of atrial tachycardia. NYHA functional class (FC) II HF was diagnosed in 64 patients, NYHA FC III HF--in 42 patients. According to what treatment regimen was applied, the patients were divided into two groups, comparable in the main clinical and functional characteristics. Two-month therapy resulted in improvement of hemodynamics, increase of activity tolerance and improvement of life quality in both groups. The combination celanide + enalapril + indapamide in individual doses was effective in FC II-III HF with supraventricular arrhythmias. The cost of treatment with celanid is lower.
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