SHIFT: Effects of Ivabradine on Cardiovascular Events in Patients With Moderate to Severe Chronic Heart Failure and Left Ventricular Systolic Dysfunction. A Three-year International Multicentre Study

Sponsor
Institut de Recherches Internationales Servier (Other)
Overall Status
Completed
CT.gov ID
NCT02441218
Collaborator
(none)
6,505
2
2
43
3252.5
75.7

Study Details

Study Description

Brief Summary

The primary objective of this study is to demonstrate the superiority of ivabradine over placebo in the reduction of cardiovascular mortality or hospitalisation for worsening heart failure in patients with moderate to severe symptoms of chronic heart failure, a reduced left ventricular ejection fraction and currently receiving recommended therapy for this disease.

Condition or Disease Intervention/Treatment Phase
Phase 3

Study Design

Study Type:
Interventional
Actual Enrollment :
6505 participants
Allocation:
Randomized
Intervention Model:
Parallel Assignment
Masking:
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Primary Purpose:
Treatment
Study Start Date :
Sep 1, 2006
Actual Primary Completion Date :
Apr 1, 2010
Actual Study Completion Date :
Apr 1, 2010

Arms and Interventions

Arm Intervention/Treatment
Experimental: Ivabradine

Drug: Ivabradine
2.5mg, 5mg or 7.5mg tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months.

Placebo Comparator: Placebo

Drug: Placebo
Matching placebo tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months.

Outcome Measures

Primary Outcome Measures

  1. Primary Composite Endpoint: First Event Among Cardiovascular Death (Including Death of Unknown Cause) or Hospitalization for Worsening Heart Failure. [All over the study (up to 42 months).]

    Number of patients having experienced the Primary Composite Endpoint.

Secondary Outcome Measures

  1. Cardiovascular Death [From the date of randomization until the date of death, up to 42 months]

    Component of the primary composite endpoint

  2. Hospitalisation for Worsening Heart Failure [From the date of randomization to the date of first documented hospitalisation, up to 42 months]

  3. All-cause Mortality [From the date of randomisation to death, up to 42 months.]

  4. Death From Heart Failure [From the date of randomisation to death, up to 42 months.]

    Component of cardiovascular death

  5. Hospitalisation for Any Cause [From the date of randomisation to the date of first documented hospitalisation, up to 42 months]

  6. Hospitalisation for Cardiovascular Reason [From the date of randomisation to the first documented hospitalisation, up to 42 months]

  7. Unplanned Hospitalisation for Any Cause [From the date of randomisation to the first documented hospitalisation, up to 42 months]

  8. Unplanned Hospitalisation for CV Reason [From the date of randomisation to the first documented hospitalisation, up to 42 months.]

  9. Secondary Composite Endpoint [From the date of randomisation to the date of the first event, up to 42 months]

    CV death, hospitalisation for worsening HF or hospitalisation for non-fatal myocardial infarction

Eligibility Criteria

Criteria

Ages Eligible for Study:
18 Years and Older
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
No
Inclusion Criteria:
  • Symptomatic Chronic heart failure (NYHA II, III or IV)

  • Left ventricular systolic dysfunction (LVEF ≤ 35%)

  • Sinus rhythm and resting heart rate ≥ 70 bpm

  • Optimal and unchanged CHF medications or dosages

Exclusion Criteria:
  • Unstable condition within previous 4 weeks

  • Myocardial infarction or coronary revascularisation within previous 2 months

  • Stroke or transient cerebral ischaemia within previous 4 weeks

  • Congenital heart disease

  • Severe valvular disease

  • Active myocarditis

  • Permanent atrial fibrillation or flutter

Contacts and Locations

Locations

Site City State Country Postal Code
1 Hôpital Pitié-Salpétrière Paris France 75013
2 Göteborg University Göteborg Sweden S 41685

Sponsors and Collaborators

  • Institut de Recherches Internationales Servier

Investigators

None specified.

Study Documents (Full-Text)

None provided.

More Information

Additional Information:

Publications

None provided.
Responsible Party:
Institut de Recherches Internationales Servier
ClinicalTrials.gov Identifier:
NCT02441218
Other Study ID Numbers:
  • CL3-16257-063
  • 2006-000708-18
First Posted:
May 12, 2015
Last Update Posted:
Jan 3, 2020
Last Verified:
Jan 1, 2020
Individual Participant Data (IPD) Sharing Statement:
Yes
Plan to Share IPD:
Yes
Additional relevant MeSH terms:

Study Results

Participant Flow

Recruitment Details The target population was adult patients with stable, moderate to severe chronic heart failure (CHF) and left ventricular systolic dysfunction, with optimal and unchanged CHF medications and dosages for ≥ 4 weeks.
Pre-assignment Detail Following a run-in period of two weeks during which no study treatment was dispensed, the participants were randomised to receive ivabradine or placebo in addition to their usual cardiovascular treatment in double-blind treatment period.
Arm/Group Title Ivabradine Placebo
Arm/Group Description Ivabradine: 2.5mg, 5mg or 7.5mg tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months. Placebo: Matching placebo tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months.
Period Title: Overall Study
STARTED 3241 3264
COMPLETED 2663 2652
NOT COMPLETED 578 612

Baseline Characteristics

Arm/Group Title Ivabradine Placebo Total
Arm/Group Description Ivabradine: 2.5mg, 5mg or 7.5mg tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months. Placebo: Matching placebo tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months. Total of all reporting groups
Overall Participants 3241 3264 6505
Age (years) [Mean (Standard Deviation) ]
Mean (Standard Deviation) [years]
60.7
(11.2)
60.1
(11.5)
60.4
(11.4)
Sex: Female, Male (Count of Participants)
Female
779
24%
756
23.2%
1535
23.6%
Male
2462
76%
2508
76.8%
4970
76.4%
Beta-blocker intake at randomization (participants) [Number]
Yes
2897
89.4%
2923
89.6%
5820
89.5%
No
344
10.6%
341
10.4%
685
10.5%

Outcome Measures

1. Primary Outcome
Title Primary Composite Endpoint: First Event Among Cardiovascular Death (Including Death of Unknown Cause) or Hospitalization for Worsening Heart Failure.
Description Number of patients having experienced the Primary Composite Endpoint.
Time Frame All over the study (up to 42 months).

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ivabradine Placebo
Arm/Group Description Ivabradine: 2.5mg, 5mg or 7.5mg tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months. Placebo: Matching placebo tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months.
Measure Participants 3241 3264
Number [participants]
793
24.5%
937
28.7%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ivabradine, Placebo
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value <0.0001
Comments
Method Regression, Cox
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.82
Confidence Interval (2-Sided) 95%
0.75 to 0.90
Parameter Dispersion Type:
Value:
Estimation Comments Estimate of the hazard ratio between treatment groups based on an adjusted Cox proportional hazards model with beta-blocker intake at randomisation as a covariate. P-value: Wald test
2. Secondary Outcome
Title Cardiovascular Death
Description Component of the primary composite endpoint
Time Frame From the date of randomization until the date of death, up to 42 months

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ivabradine Placebo
Arm/Group Description Ivabradine: 2.5mg, 5mg or 7.5mg tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months. Placebo: Matching placebo tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months.
Measure Participants 3241 3264
Number [participants]
449
13.9%
491
15%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ivabradine, Placebo
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.128
Comments
Method Regression, Cox
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.91
Confidence Interval (2-Sided) 95%
0.80 to 1.03
Parameter Dispersion Type:
Value:
Estimation Comments Estimate of the hazard ratio between treatment groups based on an adjusted Cox proportional hazards model with beta-blocker intake at randomisation as a covariate. P-value: Wald test
3. Secondary Outcome
Title Hospitalisation for Worsening Heart Failure
Description
Time Frame From the date of randomization to the date of first documented hospitalisation, up to 42 months

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ivabradine Placebo
Arm/Group Description Ivabradine: 2.5mg, 5mg or 7.5mg tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months. Placebo: Matching placebo tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months.
Measure Participants 3241 3264
Number [participants]
514
15.9%
672
20.6%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ivabradine, Placebo
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value < 0.0001
Comments
Method Regression, Cox
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.74
Confidence Interval (2-Sided) 95%
0.66 to 0.83
Parameter Dispersion Type:
Value:
Estimation Comments Estimate of the hazard ratio between treatment groups based on an adjusted Cox proportional hazards model with beta-blocker intake at randomisation as a covariate. P-value: Wald test
4. Secondary Outcome
Title All-cause Mortality
Description
Time Frame From the date of randomisation to death, up to 42 months.

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ivabradine Placebo
Arm/Group Description Ivabradine: 2.5mg, 5mg or 7.5mg tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months. Placebo: Matching placebo tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months.
Measure Participants 3241 3264
Number [participants]
503
15.5%
552
16.9%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ivabradine, Placebo
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.092
Comments
Method Regression, Cox
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.90
Confidence Interval (2-Sided) 95%
0.80 to 1.02
Parameter Dispersion Type:
Value:
Estimation Comments Estimate of the hazard ratio between treatment groups based on an adjusted Cox proportional hazards model with beta-blocker intake at randomisation as a covariate. P-value: Wald test
5. Secondary Outcome
Title Death From Heart Failure
Description Component of cardiovascular death
Time Frame From the date of randomisation to death, up to 42 months.

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ivabradine Placebo
Arm/Group Description Ivabradine: 2.5mg, 5mg or 7.5mg tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months. Placebo: Matching placebo tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months.
Measure Participants 3241 3264
Number [participants]
113
3.5%
151
4.6%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ivabradine, Placebo
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0140
Comments
Method Regression, Cox
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.74
Confidence Interval (2-Sided) 95%
0.58 to 0.94
Parameter Dispersion Type:
Value:
Estimation Comments Estimate of the hazard ratio between treatment groups based on an adjusted Cox proportional hazards model with beta-blocker intake at randomisation as a covariate. P-value: Wald test
6. Secondary Outcome
Title Hospitalisation for Any Cause
Description
Time Frame From the date of randomisation to the date of first documented hospitalisation, up to 42 months

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ivabradine Placebo
Arm/Group Description Ivabradine: 2.5mg, 5mg or 7.5mg tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months. Placebo: Matching placebo tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months.
Measure Participants 3241 3264
Number [participants]
1231
38%
1356
41.5%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ivabradine, Placebo
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0027
Comments
Method Regression, Cox
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.89
Confidence Interval (2-Sided) 95%
0.82 to 0.96
Parameter Dispersion Type:
Value:
Estimation Comments Estimate of the hazard ratio between treatment groups based on an adjusted Cox proportional hazards model with beta-blocker intake at randomisation as a covariate. P-value: Wald test
7. Secondary Outcome
Title Hospitalisation for Cardiovascular Reason
Description
Time Frame From the date of randomisation to the first documented hospitalisation, up to 42 months

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ivabradine Placebo
Arm/Group Description Ivabradine: 2.5mg, 5mg or 7.5mg tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months. Placebo: Matching placebo tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months.
Measure Participants 3241 3264
Number [participants]
977
30.1%
1122
34.4%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ivabradine, Placebo
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method Regression, Cox
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.85
Confidence Interval (2-Sided) 95%
0.78 to 0.92
Parameter Dispersion Type:
Value:
Estimation Comments Estimate of the hazard ratio between treatment groups based on an adjusted Cox proportional hazards model with beta-blocker intake at randomisation as a covariate. P-value: Wald test
8. Secondary Outcome
Title Unplanned Hospitalisation for Any Cause
Description
Time Frame From the date of randomisation to the first documented hospitalisation, up to 42 months

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ivabradine Placebo
Arm/Group Description Ivabradine: 2.5mg, 5mg or 7.5mg tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months. Placebo: Matching placebo tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months.
Measure Participants 3241 3264
Number [participants]
1137
35.1%
1264
38.7%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ivabradine, Placebo
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0013
Comments
Method Regression, Cox
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.88
Confidence Interval (2-Sided) 95%
0.81 to 0.95
Parameter Dispersion Type:
Value:
Estimation Comments Estimate of the hazard ratio between treatment groups based on an adjusted Cox proportional hazards model with beta-blocker intake at randomisation as a covariate. P-value: Wald test
9. Secondary Outcome
Title Unplanned Hospitalisation for CV Reason
Description
Time Frame From the date of randomisation to the first documented hospitalisation, up to 42 months.

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ivabradine Placebo
Arm/Group Description Ivabradine: 2.5mg, 5mg or 7.5mg tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months. Placebo: Matching placebo tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months.
Measure Participants 3241 3264
Number [participants]
909
28%
1047
32.1%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ivabradine, Placebo
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value 0.0002
Comments
Method Regression, Cox
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.84
Confidence Interval (2-Sided) 95%
0.77 to 0.92
Parameter Dispersion Type:
Value:
Estimation Comments Estimate of the hazard ratio between treatment groups based on an adjusted Cox proportional hazards model with beta-blocker intake at randomisation as a covariate. P-value: Wald test
10. Secondary Outcome
Title Secondary Composite Endpoint
Description CV death, hospitalisation for worsening HF or hospitalisation for non-fatal myocardial infarction
Time Frame From the date of randomisation to the date of the first event, up to 42 months

Outcome Measure Data

Analysis Population Description
[Not Specified]
Arm/Group Title Ivabradine Placebo
Arm/Group Description Ivabradine: 2.5mg, 5mg or 7.5mg tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months. Placebo: Matching placebo tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months.
Measure Participants 3241 3264
Number [participants]
825
25.5%
979
30%
Statistical Analysis 1
Statistical Analysis Overview Comparison Group Selection Ivabradine, Placebo
Comments
Type of Statistical Test Superiority or Other (legacy)
Comments
Statistical Test of Hypothesis p-Value < 0.0001
Comments
Method Regression, Cox
Comments
Method of Estimation Estimation Parameter Hazard Ratio (HR)
Estimated Value 0.82
Confidence Interval (2-Sided) 95%
0.74 to 0.89
Parameter Dispersion Type:
Value:
Estimation Comments Estimate of the hazard ratio between treatment groups based on an adjusted Cox proportional hazards model with beta-blocker intake at randomisation as a covariate. P-value: Wald test

Adverse Events

Time Frame From randomisation to death, up to 42 months
Adverse Event Reporting Description The Randomised Set consisted of 6505 patients (3241 patients in the ivabradine group and 3264 patients in the placebo group). The Safety Set consisted of 6492 patients: 13 randomised patients were excluded from the Safety Set because they did not take any study drug (9 patients in the ivabradine group and 4 patients in the placebo group).
Arm/Group Title Ivabradine Placebo
Arm/Group Description Ivabradine: 2.5mg, 5mg or 7.5mg tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months. Placebo: Matching placebo tablets to be taken orally twice daily, at 12-hours intervals, in the morning and in the evening during meals up to 42 months.
All Cause Mortality
Ivabradine Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total / (NaN) / (NaN)
Serious Adverse Events
Ivabradine Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 1369/3232 (42.4%) 1481/3260 (45.4%)
Blood and lymphatic system disorders
Anaemia 6/3232 (0.2%) 6 8/3260 (0.2%) 8
Hypochromic anaemia 0/3232 (0%) 0 1/3260 (0%) 1
Iron deficiency anaemia 0/3232 (0%) 0 3/3260 (0.1%) 3
Lymphadenopathy mediastinal 1/3232 (0%) 1 0/3260 (0%) 0
Microcytic anaemia 1/3232 (0%) 1 1/3260 (0%) 1
Nephrogenic anaemia 1/3232 (0%) 1 1/3260 (0%) 1
Spleen disorder 1/3232 (0%) 1 0/3260 (0%) 0
Thrombocytopenia 0/3232 (0%) 0 1/3260 (0%) 1
Cardiac disorders
Acute coronary syndrome 9/3232 (0.3%) 11 14/3260 (0.4%) 14
Acute myocardial infarction 62/3232 (1.9%) 65 54/3260 (1.7%) 61
Adams-Stokes syndrome 1/3232 (0%) 1 0/3260 (0%) 0
Angina pectoris 51/3232 (1.6%) 61 55/3260 (1.7%) 60
Angina unstable 113/3232 (3.5%) 140 119/3260 (3.7%) 139
Arteriosclerosis coronary artery 0/3232 (0%) 0 1/3260 (0%) 1
Atrial fibrillation 126/3232 (3.9%) 139 106/3260 (3.3%) 114
Atrial flutter 22/3232 (0.7%) 22 19/3260 (0.6%) 20
Atrial tachycardia 1/3232 (0%) 1 1/3260 (0%) 1
Atrial thrombosis 0/3232 (0%) 0 1/3260 (0%) 1
Atrioventricular block complete 9/3232 (0.3%) 9 2/3260 (0.1%) 2
Atrioventricular block first degree 0/3232 (0%) 0 2/3260 (0.1%) 2
Atrioventricular block second degree 7/3232 (0.2%) 7 4/3260 (0.1%) 4
Atrioventricular block third degree 8/3232 (0.2%) 8 2/3260 (0.1%) 2
Bradycardia 15/3232 (0.5%) 15 2/3260 (0.1%) 2
Cardiac aneurysm 1/3232 (0%) 1 1/3260 (0%) 1
Cardiac arrest 2/3232 (0.1%) 2 1/3260 (0%) 1
Cardiac failure 506/3232 (15.7%) 766 665/3260 (20.4%) 1093
Cardiac failure acute 12/3232 (0.4%) 13 5/3260 (0.2%) 5
Cardiac failure congestive 17/3232 (0.5%) 21 19/3260 (0.6%) 21
Cardio-respiratory distress 0/3232 (0%) 0 1/3260 (0%) 1
Cardiogenic shock 15/3232 (0.5%) 15 16/3260 (0.5%) 16
Cardiomyopathy 0/3232 (0%) 0 1/3260 (0%) 1
Conduction disorder 0/3232 (0%) 0 1/3260 (0%) 1
Congestive cardiomyopathy 1/3232 (0%) 1 0/3260 (0%) 0
Cor pulmonale 1/3232 (0%) 4 0/3260 (0%) 0
Coronary artery disease 5/3232 (0.2%) 5 5/3260 (0.2%) 5
Coronary artery insufficiency 1/3232 (0%) 1 0/3260 (0%) 0
Coronary artery occlusion 0/3232 (0%) 0 3/3260 (0.1%) 3
Coronary artery stenosis 0/3232 (0%) 0 1/3260 (0%) 1
Intracardiac thrombus 2/3232 (0.1%) 2 1/3260 (0%) 1
Ischaemic cardiomyopathy 1/3232 (0%) 1 1/3260 (0%) 1
Left ventricular failure 3/3232 (0.1%) 3 1/3260 (0%) 1
Mitral valve incompetence 2/3232 (0.1%) 2 3/3260 (0.1%) 3
Mitral valve stenosis 0/3232 (0%) 0 1/3260 (0%) 1
Myocardial infarction 57/3232 (1.8%) 63 51/3260 (1.6%) 51
Myocardial ischaemia 2/3232 (0.1%) 3 3/3260 (0.1%) 3
Nodal arrhythmia 1/3232 (0%) 1 0/3260 (0%) 0
Pericardial effusion 1/3232 (0%) 1 0/3260 (0%) 0
Pericarditis 1/3232 (0%) 1 1/3260 (0%) 1
Rhythm idioventricular 1/3232 (0%) 1 0/3260 (0%) 0
Sick sinus syndrome 5/3232 (0.2%) 5 0/3260 (0%) 0
Sinoatrial block 1/3232 (0%) 1 0/3260 (0%) 0
Supraventricular extrasystoles 2/3232 (0.1%) 2 1/3260 (0%) 1
Supraventricular tachycardia 4/3232 (0.1%) 4 5/3260 (0.2%) 5
Torsade de pointes 2/3232 (0.1%) 2 0/3260 (0%) 0
Tricuspid valve incompetence 1/3232 (0%) 1 0/3260 (0%) 0
Ventricular arrhythmia 3/3232 (0.1%) 3 5/3260 (0.2%) 5
Ventricular dysfunction 1/3232 (0%) 1 0/3260 (0%) 0
Ventricular extrasystoles 15/3232 (0.5%) 15 9/3260 (0.3%) 9
Ventricular fibrillation 20/3232 (0.6%) 21 11/3260 (0.3%) 11
Ventricular tachyarrhythmia 0/3232 (0%) 0 1/3260 (0%) 1
Ventricular tachycardia 31/3232 (1%) 34 46/3260 (1.4%) 52
Congenital, familial and genetic disorders
Gastrointestinal angiodysplasia haemorrhagic 0/3232 (0%) 0 1/3260 (0%) 1
Ear and labyrinth disorders
Acute vestibular syndrome 0/3232 (0%) 0 1/3260 (0%) 1
Vertigo 0/3232 (0%) 0 3/3260 (0.1%) 3
Vertigo positional 1/3232 (0%) 1 0/3260 (0%) 0
Endocrine disorders
Goitre 1/3232 (0%) 1 2/3260 (0.1%) 2
Hyperparathyroidism primary 0/3232 (0%) 0 1/3260 (0%) 1
Hyperthyroidism 2/3232 (0.1%) 2 1/3260 (0%) 1
Eye disorders
Cataract 9/3232 (0.3%) 11 7/3260 (0.2%) 7
Cataract cortical 1/3232 (0%) 1 0/3260 (0%) 0
Diabetic retinopathy 1/3232 (0%) 1 0/3260 (0%) 0
Glaucoma 3/3232 (0.1%) 4 1/3260 (0%) 1
Iridocyclitis 0/3232 (0%) 0 1/3260 (0%) 1
Lens dislocation 1/3232 (0%) 1 0/3260 (0%) 0
Open angle glaucoma 0/3232 (0%) 0 1/3260 (0%) 1
Presbyopia 0/3232 (0%) 0 1/3260 (0%) 1
Retinal artery embolism 1/3232 (0%) 1 0/3260 (0%) 0
Retinal artery occlusion 0/3232 (0%) 0 1/3260 (0%) 1
Retinal detachment 1/3232 (0%) 1 1/3260 (0%) 1
Retinopathy proliferative 0/3232 (0%) 0 1/3260 (0%) 1
Ulcerative keratitis 1/3232 (0%) 1 0/3260 (0%) 0
Uveitis 1/3232 (0%) 1 0/3260 (0%) 0
Vision blurred 0/3232 (0%) 0 1/3260 (0%) 1
Vitreous haemorrhage 1/3232 (0%) 1 0/3260 (0%) 0
Gastrointestinal disorders
Abdominal distension 0/3232 (0%) 0 1/3260 (0%) 1
Abdominal hernia 0/3232 (0%) 0 1/3260 (0%) 1
Abdominal pain 1/3232 (0%) 1 2/3260 (0.1%) 3
Abdominal pain upper 0/3232 (0%) 0 1/3260 (0%) 1
Anal fistula 0/3232 (0%) 0 1/3260 (0%) 1
Ascites 1/3232 (0%) 1 0/3260 (0%) 0
Colitis 2/3232 (0.1%) 2 0/3260 (0%) 0
Colonic haematoma 0/3232 (0%) 0 1/3260 (0%) 1
Colonic polyp 2/3232 (0.1%) 2 2/3260 (0.1%) 2
Constipation 0/3232 (0%) 0 2/3260 (0.1%) 2
Diarrhoea 1/3232 (0%) 1 5/3260 (0.2%) 5
Disbacteriosis 0/3232 (0%) 0 1/3260 (0%) 1
Diverticulum duodenal 1/3232 (0%) 1 0/3260 (0%) 0
Diverticulum intestinal 1/3232 (0%) 1 2/3260 (0.1%) 2
Diverticulum intestinal haemorrhagic 1/3232 (0%) 1 0/3260 (0%) 0
Duodenal ulcer haemorrhage 4/3232 (0.1%) 4 2/3260 (0.1%) 2
Duodenitis 1/3232 (0%) 1 0/3260 (0%) 0
Dyspepsia 2/3232 (0.1%) 2 0/3260 (0%) 0
Dysphagia 0/3232 (0%) 0 1/3260 (0%) 1
Enteritis 1/3232 (0%) 1 0/3260 (0%) 0
Enterocolitis 0/3232 (0%) 0 1/3260 (0%) 1
Erosive duodenitis 0/3232 (0%) 0 1/3260 (0%) 1
Erosive oesophagitis 0/3232 (0%) 0 2/3260 (0.1%) 2
Femoral hernia 0/3232 (0%) 0 1/3260 (0%) 1
Food poisoning 1/3232 (0%) 1 1/3260 (0%) 1
Gastric disorder 0/3232 (0%) 0 1/3260 (0%) 1
Gastric haemorrhage 1/3232 (0%) 1 0/3260 (0%) 0
Gastric polyps 0/3232 (0%) 0 1/3260 (0%) 1
Gastric ulcer 3/3232 (0.1%) 3 1/3260 (0%) 1
Gastric ulcer haemorrhage 3/3232 (0.1%) 3 3/3260 (0.1%) 3
Gastric ulcer perforation 2/3232 (0.1%) 2 0/3260 (0%) 0
Gastritis 4/3232 (0.1%) 4 4/3260 (0.1%) 4
Gastritis atrophic 1/3232 (0%) 1 0/3260 (0%) 0
Gastritis erosive 0/3232 (0%) 0 3/3260 (0.1%) 3
Gastritis haemorrhagic 2/3232 (0.1%) 3 0/3260 (0%) 0
Gastroduodenal ulcer 0/3232 (0%) 0 1/3260 (0%) 1
Gastroduodenitis 2/3232 (0.1%) 2 1/3260 (0%) 1
Gastrointestinal disorder 0/3232 (0%) 0 2/3260 (0.1%) 2
Gastrointestinal erosion 0/3232 (0%) 0 1/3260 (0%) 1
Gastrointestinal haemorrhage 4/3232 (0.1%) 4 5/3260 (0.2%) 5
Gastrointestinal perforation 1/3232 (0%) 1 0/3260 (0%) 0
Gastrooesophageal reflux disease 1/3232 (0%) 1 1/3260 (0%) 1
Haemorrhoidal haemorrhage 2/3232 (0.1%) 2 2/3260 (0.1%) 2
Haemorrhoids 1/3232 (0%) 1 0/3260 (0%) 0
Hiatus hernia 0/3232 (0%) 0 1/3260 (0%) 1
Ileus 1/3232 (0%) 1 0/3260 (0%) 0
Impaired gastric emptying 0/3232 (0%) 0 1/3260 (0%) 1
Inguinal hernia 8/3232 (0.2%) 8 8/3260 (0.2%) 9
Inguinal hernia, obstructive 0/3232 (0%) 0 1/3260 (0%) 1
Intestinal ischaemia 1/3232 (0%) 1 1/3260 (0%) 1
Intestinal obstruction 0/3232 (0%) 0 3/3260 (0.1%) 3
Mallory-Weiss syndrome 1/3232 (0%) 1 0/3260 (0%) 0
Mechanical ileus 0/3232 (0%) 0 1/3260 (0%) 1
Megacolon 0/3232 (0%) 0 1/3260 (0%) 1
Melaena 0/3232 (0%) 0 2/3260 (0.1%) 2
Mesenteric artery thrombosis 1/3232 (0%) 1 0/3260 (0%) 0
Pancreatic cyst 0/3232 (0%) 0 1/3260 (0%) 1
Pancreatitis 3/3232 (0.1%) 3 1/3260 (0%) 1
Pancreatitis acute 5/3232 (0.2%) 5 5/3260 (0.2%) 5
Pancreatitis chronic 1/3232 (0%) 1 0/3260 (0%) 0
Pancreatitis necrotising 0/3232 (0%) 0 1/3260 (0%) 1
Peritonitis 1/3232 (0%) 1 5/3260 (0.2%) 5
Polyp colorectal 0/3232 (0%) 0 1/3260 (0%) 1
Rectal haemorrhage 0/3232 (0%) 0 1/3260 (0%) 1
Reflux oesophagitis 0/3232 (0%) 0 1/3260 (0%) 1
Sigmoiditis 1/3232 (0%) 1 0/3260 (0%) 0
Subileus 1/3232 (0%) 1 2/3260 (0.1%) 2
Thrombosis mesenteric vessel 1/3232 (0%) 1 1/3260 (0%) 1
Umbilical hernia 1/3232 (0%) 1 0/3260 (0%) 0
Upper gastrointestinal haemorrhage 6/3232 (0.2%) 6 1/3260 (0%) 1
Volvulus 1/3232 (0%) 1 0/3260 (0%) 0
Vomiting 1/3232 (0%) 1 0/3260 (0%) 0
General disorders
Accidental death 0/3232 (0%) 0 1/3260 (0%) 1
Cardiac death 0/3232 (0%) 0 1/3260 (0%) 1
Chest pain 5/3232 (0.2%) 5 4/3260 (0.1%) 7
Death 4/3232 (0.1%) 4 1/3260 (0%) 1
Fatigue 1/3232 (0%) 1 0/3260 (0%) 0
Hyperthermia 0/3232 (0%) 0 1/3260 (0%) 1
Implant site inflammation 1/3232 (0%) 1 0/3260 (0%) 0
Implant site ulcer 1/3232 (0%) 1 0/3260 (0%) 0
Non-cardiac chest pain 5/3232 (0.2%) 5 2/3260 (0.1%) 4
Oedema peripheral 0/3232 (0%) 0 1/3260 (0%) 1
Pain 0/3232 (0%) 0 1/3260 (0%) 1
Pyrexia 1/3232 (0%) 1 1/3260 (0%) 1
Sudden cardiac death 73/3232 (2.3%) 73 68/3260 (2.1%) 68
Sudden death 111/3232 (3.4%) 111 119/3260 (3.7%) 119
Systemic inflammatory response syndrome 1/3232 (0%) 1 0/3260 (0%) 0
Hepatobiliary disorders
Bile duct stone 0/3232 (0%) 0 2/3260 (0.1%) 2
Biliary colic 2/3232 (0.1%) 2 0/3260 (0%) 0
Biliary dilatation 0/3232 (0%) 0 1/3260 (0%) 1
Cholangitis 0/3232 (0%) 0 2/3260 (0.1%) 2
Cholecystitis 7/3232 (0.2%) 7 11/3260 (0.3%) 11
Cholecystitis acute 5/3232 (0.2%) 5 9/3260 (0.3%) 9
Cholelithiasis 6/3232 (0.2%) 6 5/3260 (0.2%) 5
Cholestasis 1/3232 (0%) 1 0/3260 (0%) 0
Cytolytic hepatitis 1/3232 (0%) 1 0/3260 (0%) 0
Hepatic cirrhosis 3/3232 (0.1%) 3 3/3260 (0.1%) 3
Hepatic congestion 0/3232 (0%) 0 1/3260 (0%) 1
Hepatic function abnormal 0/3232 (0%) 0 1/3260 (0%) 1
Hepatic steatosis 0/3232 (0%) 0 1/3260 (0%) 1
Hepatitis cholestatic 1/3232 (0%) 1 0/3260 (0%) 0
Hepatitis toxic 0/3232 (0%) 0 1/3260 (0%) 1
Hepatorenal failure 1/3232 (0%) 1 0/3260 (0%) 0
Hyperbilirubinaemia 0/3232 (0%) 0 1/3260 (0%) 1
Jaundice 0/3232 (0%) 0 1/3260 (0%) 1
Post cholecystectomy syndrome 0/3232 (0%) 0 2/3260 (0.1%) 2
Immune system disorders
Allergic oedema 1/3232 (0%) 1 0/3260 (0%) 0
Anaphylactic shock 1/3232 (0%) 1 0/3260 (0%) 0
Cryoglobulinaemia 0/3232 (0%) 0 1/3260 (0%) 1
Infections and infestations
Abdominal sepsis 1/3232 (0%) 1 0/3260 (0%) 0
Abdominal wall abscess 0/3232 (0%) 0 1/3260 (0%) 1
Abscess limb 0/3232 (0%) 0 1/3260 (0%) 1
Abscess oral 0/3232 (0%) 0 1/3260 (0%) 1
Appendicitis 2/3232 (0.1%) 2 2/3260 (0.1%) 2
Ascites infection 0/3232 (0%) 0 1/3260 (0%) 1
Bacterial sepsis 1/3232 (0%) 1 0/3260 (0%) 0
Bronchiectasis 0/3232 (0%) 0 2/3260 (0.1%) 2
Bronchitis 3/3232 (0.1%) 3 5/3260 (0.2%) 5
Bronchitis acute 10/3232 (0.3%) 11 18/3260 (0.6%) 20
Bronchitis acute viral 1/3232 (0%) 1 0/3260 (0%) 0
Bronchitis chronic 1/3232 (0%) 1 0/3260 (0%) 0
Bronchopneumonia 7/3232 (0.2%) 8 7/3260 (0.2%) 8
Bursitis infective 0/3232 (0%) 0 1/3260 (0%) 1
Candida sepsis 1/3232 (0%) 1 0/3260 (0%) 0
Cellulitis 5/3232 (0.2%) 5 6/3260 (0.2%) 6
Clostridium colitis 1/3232 (0%) 1 0/3260 (0%) 0
Device related infection 0/3232 (0%) 0 1/3260 (0%) 1
Diabetic foot infection 1/3232 (0%) 1 4/3260 (0.1%) 4
Diabetic gangrene 5/3232 (0.2%) 5 5/3260 (0.2%) 6
Diverticulitis 0/3232 (0%) 0 4/3260 (0.1%) 5
Ear infection 1/3232 (0%) 1 0/3260 (0%) 0
Endocarditis 2/3232 (0.1%) 2 0/3260 (0%) 0
Epidemic nephropathy 0/3232 (0%) 0 1/3260 (0%) 1
Epstein-Barr virus infection 1/3232 (0%) 1 0/3260 (0%) 0
Erysipelas 5/3232 (0.2%) 5 7/3260 (0.2%) 8
Escherichia urinary tract infection 1/3232 (0%) 1 1/3260 (0%) 1
Gangrene 1/3232 (0%) 1 1/3260 (0%) 1
Gastroenteritis 4/3232 (0.1%) 4 5/3260 (0.2%) 5
Gastroenteritis enteroviral 0/3232 (0%) 0 1/3260 (0%) 1
Gastroenteritis viral 0/3232 (0%) 0 2/3260 (0.1%) 2
Gastrointestinal infection 0/3232 (0%) 0 1/3260 (0%) 1
Graft infection 0/3232 (0%) 0 1/3260 (0%) 1
Hepatitis B 0/3232 (0%) 0 1/3260 (0%) 1
Hepatitis C 1/3232 (0%) 1 0/3260 (0%) 0
Herpes zoster 2/3232 (0.1%) 2 0/3260 (0%) 0
Infected skin ulcer 0/3232 (0%) 0 1/3260 (0%) 1
Infection 1/3232 (0%) 1 3/3260 (0.1%) 3
Influenza 1/3232 (0%) 1 2/3260 (0.1%) 2
Intervertebral discitis 1/3232 (0%) 1 0/3260 (0%) 0
Laryngitis 0/3232 (0%) 0 1/3260 (0%) 1
Lobar pneumonia 4/3232 (0.1%) 4 4/3260 (0.1%) 4
Lower respiratory tract infection 2/3232 (0.1%) 3 4/3260 (0.1%) 4
Lower respiratory tract infection viral 1/3232 (0%) 1 0/3260 (0%) 0
Lung abscess 1/3232 (0%) 1 1/3260 (0%) 1
Lung infection 4/3232 (0.1%) 5 5/3260 (0.2%) 6
Lung infection pseudomonal 0/3232 (0%) 0 1/3260 (0%) 1
Malaria 1/3232 (0%) 1 0/3260 (0%) 0
Necrotising fasciitis 1/3232 (0%) 1 1/3260 (0%) 1
Obstructive chronic bronchitis with acute exacerbation 2/3232 (0.1%) 2 2/3260 (0.1%) 4
Orchitis 1/3232 (0%) 1 0/3260 (0%) 0
Oropharyngeal candidiasis 0/3232 (0%) 0 1/3260 (0%) 1
Osteomyelitis 3/3232 (0.1%) 4 3/3260 (0.1%) 3
Otitis media chronic 1/3232 (0%) 1 0/3260 (0%) 0
Perianal abscess 1/3232 (0%) 1 0/3260 (0%) 0
Peritoneal tuberculosis 0/3232 (0%) 0 1/3260 (0%) 1
Pneumonia 70/3232 (2.2%) 79 65/3260 (2%) 69
Pneumonia bacterial 1/3232 (0%) 1 0/3260 (0%) 0
Pneumonia klebsiella 0/3232 (0%) 0 1/3260 (0%) 1
Pneumonia primary atypical 1/3232 (0%) 1 0/3260 (0%) 0
Pneumonia staphylococcal 0/3232 (0%) 0 1/3260 (0%) 1
Post procedural cellulitis 0/3232 (0%) 0 1/3260 (0%) 1
Postoperative infection 1/3232 (0%) 1 0/3260 (0%) 0
Postoperative wound infection 2/3232 (0.1%) 3 1/3260 (0%) 1
Pulmonary sepsis 1/3232 (0%) 1 2/3260 (0.1%) 2
Pulmonary tuberculosis 3/3232 (0.1%) 3 1/3260 (0%) 1
Purulent synovitis 0/3232 (0%) 0 1/3260 (0%) 1
Pyelonephritis 3/3232 (0.1%) 3 2/3260 (0.1%) 2
Pyelonephritis acute 0/3232 (0%) 0 3/3260 (0.1%) 3
Pyelonephritis chronic 4/3232 (0.1%) 4 1/3260 (0%) 1
Pyonephrosis 0/3232 (0%) 0 1/3260 (0%) 1
Respiratory tract infection 7/3232 (0.2%) 7 7/3260 (0.2%) 8
Respiratory tract infection bacterial 0/3232 (0%) 0 1/3260 (0%) 1
Respiratory tract infection viral 1/3232 (0%) 1 1/3260 (0%) 1
Salmonellosis 1/3232 (0%) 1 0/3260 (0%) 0
Sepsis 4/3232 (0.1%) 4 5/3260 (0.2%) 5
Septic shock 1/3232 (0%) 1 3/3260 (0.1%) 3
Sinusitis 1/3232 (0%) 1 0/3260 (0%) 0
Staphylococcal bacteraemia 0/3232 (0%) 0 1/3260 (0%) 1
Staphylococcal infection 1/3232 (0%) 1 0/3260 (0%) 0
Staphylococcal sepsis 3/3232 (0.1%) 3 0/3260 (0%) 0
Tracheobronchitis 1/3232 (0%) 1 2/3260 (0.1%) 2
Tuberculosis 0/3232 (0%) 0 1/3260 (0%) 1
Upper respiratory tract infection 3/3232 (0.1%) 3 2/3260 (0.1%) 2
Urinary tract infection 4/3232 (0.1%) 4 5/3260 (0.2%) 5
Urinary tract infection bacterial 0/3232 (0%) 0 1/3260 (0%) 1
Urosepsis 1/3232 (0%) 1 3/3260 (0.1%) 3
Viral infection 0/3232 (0%) 0 1/3260 (0%) 1
Wound infection 0/3232 (0%) 0 1/3260 (0%) 1
Injury, poisoning and procedural complications
Alcohol poisoning 1/3232 (0%) 1 1/3260 (0%) 2
Ankle fracture 0/3232 (0%) 0 1/3260 (0%) 1
Cardiac pacemaker malfunction 3/3232 (0.1%) 3 3/3260 (0.1%) 3
Cerebral haemorrhage traumatic 0/3232 (0%) 0 1/3260 (0%) 1
Chest injury 1/3232 (0%) 1 0/3260 (0%) 0
Clavicle fracture 0/3232 (0%) 0 1/3260 (0%) 1
Closed head injury 0/3232 (0%) 0 2/3260 (0.1%) 2
Coronary artery restenosis 0/3232 (0%) 0 1/3260 (0%) 1
Device dislocation 1/3232 (0%) 1 3/3260 (0.1%) 3
Diaphragmatic injury 0/3232 (0%) 0 1/3260 (0%) 1
Fall 5/3232 (0.2%) 5 3/3260 (0.1%) 3
Femoral neck fracture 0/3232 (0%) 0 1/3260 (0%) 1
Femur fracture 7/3232 (0.2%) 8 4/3260 (0.1%) 5
Fibula fracture 1/3232 (0%) 1 1/3260 (0%) 1
Forearm fracture 0/3232 (0%) 0 1/3260 (0%) 1
Foreign body in eye 0/3232 (0%) 0 1/3260 (0%) 1
Haemothorax 1/3232 (0%) 1 0/3260 (0%) 0
Hand fracture 0/3232 (0%) 0 1/3260 (0%) 1
Head injury 4/3232 (0.1%) 4 0/3260 (0%) 0
Hip fracture 1/3232 (0%) 1 2/3260 (0.1%) 2
Humerus fracture 2/3232 (0.1%) 2 2/3260 (0.1%) 2
Implantable defibrillator malfunction 6/3232 (0.2%) 6 5/3260 (0.2%) 5
Incisional hernia 0/3232 (0%) 0 1/3260 (0%) 1
Intervertebral disc injury 0/3232 (0%) 0 1/3260 (0%) 1
Joint injury 1/3232 (0%) 1 1/3260 (0%) 1
Lower limb fracture 2/3232 (0.1%) 2 1/3260 (0%) 1
Lumbar vertebral fracture 0/3232 (0%) 0 1/3260 (0%) 1
Multiple drug overdose accidental 0/3232 (0%) 0 1/3260 (0%) 1
Multiple fractures 2/3232 (0.1%) 2 0/3260 (0%) 0
Operative haemorrhage 0/3232 (0%) 0 1/3260 (0%) 1
Pacemaker complication 2/3232 (0.1%) 2 0/3260 (0%) 0
Polytraumatism 1/3232 (0%) 1 1/3260 (0%) 1
Post procedural complication 1/3232 (0%) 1 0/3260 (0%) 0
Post procedural haematoma 0/3232 (0%) 0 1/3260 (0%) 1
Post procedural haemorrhage 1/3232 (0%) 1 2/3260 (0.1%) 2
Postoperative hernia 1/3232 (0%) 1 4/3260 (0.1%) 4
Procedural hypotension 0/3232 (0%) 0 1/3260 (0%) 1
Renal injury 0/3232 (0%) 0 1/3260 (0%) 1
Rib fracture 1/3232 (0%) 1 1/3260 (0%) 1
Road traffic accident 1/3232 (0%) 1 3/3260 (0.1%) 3
Scrotal haematoma 1/3232 (0%) 1 0/3260 (0%) 0
Skeletal injury 1/3232 (0%) 1 0/3260 (0%) 0
Spinal compression fracture 1/3232 (0%) 1 1/3260 (0%) 1
Stent occlusion 1/3232 (0%) 1 0/3260 (0%) 0
Subdural haematoma 2/3232 (0.1%) 2 3/3260 (0.1%) 3
Tendon rupture 0/3232 (0%) 0 1/3260 (0%) 1
Therapeutic agent toxicity 5/3232 (0.2%) 5 1/3260 (0%) 1
Tibia fracture 0/3232 (0%) 0 1/3260 (0%) 1
Tracheostomy malfunction 1/3232 (0%) 1 0/3260 (0%) 0
Traumatic brain injury 1/3232 (0%) 1 3/3260 (0.1%) 3
Traumatic haematoma 0/3232 (0%) 0 2/3260 (0.1%) 2
Urinary bladder rupture 0/3232 (0%) 0 1/3260 (0%) 1
Vascular graft occlusion 1/3232 (0%) 1 1/3260 (0%) 1
Wound evisceration 0/3232 (0%) 0 1/3260 (0%) 1
Wrist fracture 1/3232 (0%) 1 0/3260 (0%) 0
Investigations
Anticoagulation drug level above therapeutic 0/3232 (0%) 0 1/3260 (0%) 1
Arteriogram 2/3232 (0.1%) 2 0/3260 (0%) 0
Arteriogram coronary 24/3232 (0.7%) 24 12/3260 (0.4%) 13
Blood chloride decreased 0/3232 (0%) 0 1/3260 (0%) 1
Blood potassium increased 1/3232 (0%) 1 0/3260 (0%) 0
Carcinoembryonic antigen increased 0/3232 (0%) 0 1/3260 (0%) 1
Cardiac electrophysiologic study 0/3232 (0%) 0 3/3260 (0.1%) 3
Cardiac pacemaker evaluation 1/3232 (0%) 1 1/3260 (0%) 1
Cardiovascular evaluation 27/3232 (0.8%) 32 27/3260 (0.8%) 31
Catheterisation cardiac 0/3232 (0%) 0 5/3260 (0.2%) 6
Coagulation time prolonged 0/3232 (0%) 0 1/3260 (0%) 1
Colonoscopy 1/3232 (0%) 1 0/3260 (0%) 0
Electrocardiogram abnormal 0/3232 (0%) 0 1/3260 (0%) 1
Haemoglobin decreased 0/3232 (0%) 0 1/3260 (0%) 1
Heart rate decreased 3/3232 (0.1%) 3 0/3260 (0%) 0
Hysteroscopy 1/3232 (0%) 1 0/3260 (0%) 0
Investigation 1/3232 (0%) 1 2/3260 (0.1%) 2
Nephrological examination 1/3232 (0%) 1 1/3260 (0%) 1
Pregnancy test positive 0/3232 (0%) 0 1/3260 (0%) 1
Sleep study 1/3232 (0%) 1 1/3260 (0%) 1
Transplant evaluation 2/3232 (0.1%) 2 5/3260 (0.2%) 5
Ultrasound Doppler 0/3232 (0%) 0 1/3260 (0%) 1
Metabolism and nutrition disorders
Dehydration 3/3232 (0.1%) 3 2/3260 (0.1%) 2
Diabetes mellitus 2/3232 (0.1%) 2 2/3260 (0.1%) 2
Diabetes mellitus inadequate control 23/3232 (0.7%) 25 33/3260 (1%) 34
Diabetes mellitus non-insulin-dependent 3/3232 (0.1%) 3 2/3260 (0.1%) 2
Diabetic foot 3/3232 (0.1%) 8 8/3260 (0.2%) 8
Diabetic ketoacidosis 1/3232 (0%) 1 0/3260 (0%) 0
Electrolyte imbalance 1/3232 (0%) 1 0/3260 (0%) 0
Gout 0/3232 (0%) 0 1/3260 (0%) 1
Hyperkalaemia 2/3232 (0.1%) 2 3/3260 (0.1%) 3
Hypoglycaemia 3/3232 (0.1%) 3 4/3260 (0.1%) 4
Hypokalaemia 2/3232 (0.1%) 2 0/3260 (0%) 0
Hyponatraemia 0/3232 (0%) 0 2/3260 (0.1%) 2
Hypovolaemia 1/3232 (0%) 1 0/3260 (0%) 0
Malnutrition 1/3232 (0%) 1 0/3260 (0%) 0
Metabolic syndrome 0/3232 (0%) 0 1/3260 (0%) 1
Musculoskeletal and connective tissue disorders
Arthralgia 1/3232 (0%) 1 0/3260 (0%) 0
Arthritis 0/3232 (0%) 0 1/3260 (0%) 1
Back pain 0/3232 (0%) 0 2/3260 (0.1%) 2
Dactylitis 1/3232 (0%) 1 0/3260 (0%) 0
Gouty arthritis 2/3232 (0.1%) 2 2/3260 (0.1%) 2
Haemarthrosis 1/3232 (0%) 1 0/3260 (0%) 0
Intervertebral disc degeneration 0/3232 (0%) 0 1/3260 (0%) 1
Intervertebral disc protrusion 6/3232 (0.2%) 6 2/3260 (0.1%) 2
Monarthritis 0/3232 (0%) 0 1/3260 (0%) 1
Musculoskeletal chest pain 0/3232 (0%) 0 5/3260 (0.2%) 5
Musculoskeletal pain 1/3232 (0%) 1 0/3260 (0%) 0
Osteitis 0/3232 (0%) 0 3/3260 (0.1%) 3
Osteoarthritis 3/3232 (0.1%) 3 6/3260 (0.2%) 6
Osteochondrosis 1/3232 (0%) 1 1/3260 (0%) 1
Osteoporosis 1/3232 (0%) 1 0/3260 (0%) 0
Osteoporotic fracture 1/3232 (0%) 1 0/3260 (0%) 0
Polyarthritis 0/3232 (0%) 0 1/3260 (0%) 1
Rheumatoid arthritis 0/3232 (0%) 0 1/3260 (0%) 1
Rotator cuff syndrome 0/3232 (0%) 0 1/3260 (0%) 1
Spinal osteoarthritis 4/3232 (0.1%) 4 1/3260 (0%) 1
Systemic sclerosis 0/3232 (0%) 0 1/3260 (0%) 1
Tenosynovitis stenosans 1/3232 (0%) 1 0/3260 (0%) 0
Neoplasms benign, malignant and unspecified (incl cysts and polyps)
Basal cell carcinoma 1/3232 (0%) 1 0/3260 (0%) 0
Benign biliary neoplasm 0/3232 (0%) 0 1/3260 (0%) 1
Benign breast neoplasm 1/3232 (0%) 1 0/3260 (0%) 0
Benign lung neoplasm 0/3232 (0%) 0 1/3260 (0%) 1
Bladder cancer 3/3232 (0.1%) 3 2/3260 (0.1%) 2
Bladder papilloma 1/3232 (0%) 1 0/3260 (0%) 0
Breast cancer 2/3232 (0.1%) 2 1/3260 (0%) 1
Breast cancer in situ 0/3232 (0%) 0 1/3260 (0%) 1
Breast cancer metastatic 1/3232 (0%) 1 1/3260 (0%) 1
Breast cancer stage IV 0/3232 (0%) 0 1/3260 (0%) 1
Bronchial carcinoma 2/3232 (0.1%) 2 0/3260 (0%) 0
Cervix carcinoma 1/3232 (0%) 1 2/3260 (0.1%) 2
Chronic lymphocytic leukaemia recurrent 1/3232 (0%) 1 0/3260 (0%) 0
Chronic myeloid leukaemia 1/3232 (0%) 1 0/3260 (0%) 0
Clear cell carcinoma of the kidney 1/3232 (0%) 1 0/3260 (0%) 0
Colon cancer 3/3232 (0.1%) 3 4/3260 (0.1%) 4
Colon cancer metastatic 1/3232 (0%) 1 2/3260 (0.1%) 2
Diffuse large B-cell lymphoma 0/3232 (0%) 0 1/3260 (0%) 1
Gallbladder cancer 1/3232 (0%) 1 0/3260 (0%) 0
Gastric cancer 4/3232 (0.1%) 4 4/3260 (0.1%) 4
Hepatic cancer metastatic 1/3232 (0%) 1 1/3260 (0%) 1
Hepatic neoplasm 0/3232 (0%) 0 1/3260 (0%) 1
Hepatic neoplasm malignant 1/3232 (0%) 1 1/3260 (0%) 1
Lung adenocarcinoma 0/3232 (0%) 0 1/3260 (0%) 1
Lung cancer metastatic 2/3232 (0.1%) 2 1/3260 (0%) 1
Lung carcinoma cell type unspecified stage III 0/3232 (0%) 0 1/3260 (0%) 1
Lung carcinoma cell type unspecified stage IV 1/3232 (0%) 1 0/3260 (0%) 0
Lung neoplasm malignant 5/3232 (0.2%) 5 4/3260 (0.1%) 4
Malignant mediastinal neoplasm 0/3232 (0%) 0 1/3260 (0%) 1
Malignant melanoma 0/3232 (0%) 0 1/3260 (0%) 1
Meningioma 1/3232 (0%) 1 0/3260 (0%) 0
Metastases to bone 1/3232 (0%) 1 0/3260 (0%) 0
Metastases to central nervous system 0/3232 (0%) 0 1/3260 (0%) 1
Metastases to liver 1/3232 (0%) 1 1/3260 (0%) 1
Metastases to lung 0/3232 (0%) 0 1/3260 (0%) 1
Myelodysplastic syndrome 0/3232 (0%) 0 1/3260 (0%) 1
Nasopharyngeal cancer 0/3232 (0%) 0 1/3260 (0%) 1
Non-small cell lung cancer 1/3232 (0%) 1 0/3260 (0%) 0
Oesophageal carcinoma 2/3232 (0.1%) 2 0/3260 (0%) 0
Oropharyngeal cancer stage unspecified 1/3232 (0%) 1 0/3260 (0%) 0
Pancreatic carcinoma 0/3232 (0%) 0 2/3260 (0.1%) 2
Pancreatic carcinoma metastatic 0/3232 (0%) 0 1/3260 (0%) 1
Papillary thyroid cancer 0/3232 (0%) 0 1/3260 (0%) 1
Prostate cancer 4/3232 (0.1%) 4 5/3260 (0.2%) 5
Prostate cancer metastatic 0/3232 (0%) 0 2/3260 (0.1%) 2
Prostate cancer recurrent 0/3232 (0%) 0 1/3260 (0%) 1
Prostatic adenoma 3/3232 (0.1%) 3 0/3260 (0%) 0
Rectal adenoma 0/3232 (0%) 0 1/3260 (0%) 1
Rectal cancer 4/3232 (0.1%) 4 1/3260 (0%) 1
Rectal cancer metastatic 1/3232 (0%) 1 0/3260 (0%) 0
Renal cancer metastatic 0/3232 (0%) 0 1/3260 (0%) 1
Renal cell carcinoma stage unspecified 1/3232 (0%) 1 0/3260 (0%) 0
Renal neoplasm 3/3232 (0.1%) 3 2/3260 (0.1%) 2
Salivary gland neoplasm 1/3232 (0%) 1 0/3260 (0%) 0
Small intestine carcinoma 0/3232 (0%) 0 1/3260 (0%) 1
Squamous cell carcinoma of skin 1/3232 (0%) 1 0/3260 (0%) 0
Thyroid adenoma 0/3232 (0%) 0 1/3260 (0%) 1
Tongue carcinoma stage IV 1/3232 (0%) 1 0/3260 (0%) 0
Tongue neoplasm malignant stage unspecified 2/3232 (0.1%) 2 0/3260 (0%) 0
Uterine cancer 1/3232 (0%) 1 0/3260 (0%) 0
Uterine leiomyoma 2/3232 (0.1%) 2 1/3260 (0%) 1
Nervous system disorders
Brain stem haemorrhage 1/3232 (0%) 1 0/3260 (0%) 0
Carotid artery occlusion 0/3232 (0%) 0 1/3260 (0%) 1
Carotid artery stenosis 5/3232 (0.2%) 5 4/3260 (0.1%) 4
Cerebellar haemorrhage 1/3232 (0%) 1 0/3260 (0%) 0
Cerebellar infarction 0/3232 (0%) 0 1/3260 (0%) 1
Cerebral arteriosclerosis 2/3232 (0.1%) 2 3/3260 (0.1%) 3
Cerebral artery embolism 1/3232 (0%) 1 1/3260 (0%) 1
Cerebral haematoma 0/3232 (0%) 0 1/3260 (0%) 1
Cerebral haemorrhage 1/3232 (0%) 1 3/3260 (0.1%) 3
Cerebral infarction 7/3232 (0.2%) 7 12/3260 (0.4%) 13
Cerebral ischaemia 0/3232 (0%) 0 3/3260 (0.1%) 3
Cerebrovascular accident 14/3232 (0.4%) 14 16/3260 (0.5%) 17
Cerebrovascular disorder 1/3232 (0%) 1 1/3260 (0%) 1
Cognitive disorder 1/3232 (0%) 1 0/3260 (0%) 0
Coma 0/3232 (0%) 0 1/3260 (0%) 1
Dementia 0/3232 (0%) 0 1/3260 (0%) 1
Dementia Alzheimer's type 1/3232 (0%) 1 0/3260 (0%) 0
Depressed level of consciousness 0/3232 (0%) 0 1/3260 (0%) 1
Diabetic neuropathy 2/3232 (0.1%) 2 4/3260 (0.1%) 4
Dizziness 0/3232 (0%) 0 2/3260 (0.1%) 2
Embolic stroke 1/3232 (0%) 1 3/3260 (0.1%) 3
Encephalitis 0/3232 (0%) 0 1/3260 (0%) 1
Encephalopathy 0/3232 (0%) 0 1/3260 (0%) 1
Epilepsy 1/3232 (0%) 1 0/3260 (0%) 0
Extrapyramidal disorder 0/3232 (0%) 0 1/3260 (0%) 1
Facial palsy 1/3232 (0%) 1 0/3260 (0%) 0
Grand mal convulsion 1/3232 (0%) 1 0/3260 (0%) 0
Haemorrhagic stroke 3/3232 (0.1%) 3 4/3260 (0.1%) 4
Headache 1/3232 (0%) 1 0/3260 (0%) 0
Hypertensive encephalopathy 1/3232 (0%) 1 2/3260 (0.1%) 2
Hypoglycaemic coma 0/3232 (0%) 0 1/3260 (0%) 1
Hypoxic encephalopathy 0/3232 (0%) 0 2/3260 (0.1%) 2
Intracranial aneurysm 1/3232 (0%) 1 0/3260 (0%) 0
Intracranial haematoma 0/3232 (0%) 0 1/3260 (0%) 1
Ischaemic cerebral infarction 2/3232 (0.1%) 2 1/3260 (0%) 1
Ischaemic stroke 34/3232 (1.1%) 37 46/3260 (1.4%) 48
Lacunar infarction 1/3232 (0%) 1 3/3260 (0.1%) 3
Loss of consciousness 1/3232 (0%) 1 4/3260 (0.1%) 4
Metabolic encephalopathy 1/3232 (0%) 1 0/3260 (0%) 0
Migraine with aura 0/3232 (0%) 0 1/3260 (0%) 1
Neuropathy peripheral 0/3232 (0%) 0 1/3260 (0%) 1
Paraesthesia 0/3232 (0%) 0 1/3260 (0%) 1
Polyneuropathy 0/3232 (0%) 0 1/3260 (0%) 1
Sciatica 0/3232 (0%) 0 1/3260 (0%) 1
Spinal cord haemorrhage 1/3232 (0%) 1 0/3260 (0%) 0
Subarachnoid haemorrhage 2/3232 (0.1%) 2 0/3260 (0%) 0
Syncope 12/3232 (0.4%) 12 20/3260 (0.6%) 21
Syncope vasovagal 1/3232 (0%) 1 0/3260 (0%) 0
Tarsal tunnel syndrome 0/3232 (0%) 0 1/3260 (0%) 1
Transient ischaemic attack 11/3232 (0.3%) 12 12/3260 (0.4%) 12
Vascular dementia 0/3232 (0%) 0 1/3260 (0%) 1
Vascular encephalopathy 1/3232 (0%) 1 0/3260 (0%) 0
Vertebrobasilar insufficiency 3/3232 (0.1%) 3 3/3260 (0.1%) 4
Pregnancy, puerperium and perinatal conditions
Pregnancy 1/3232 (0%) 1 1/3260 (0%) 1
Psychiatric disorders
Affective disorder 0/3232 (0%) 0 1/3260 (0%) 1
Aggression 0/3232 (0%) 0 1/3260 (0%) 1
Alcoholism 3/3232 (0.1%) 3 2/3260 (0.1%) 2
Anxiety 0/3232 (0%) 0 1/3260 (0%) 1
Anxiety disorder 0/3232 (0%) 0 1/3260 (0%) 1
Completed suicide 0/3232 (0%) 0 1/3260 (0%) 1
Delirium 1/3232 (0%) 1 0/3260 (0%) 0
Depression 3/3232 (0.1%) 3 1/3260 (0%) 1
Disturbance in social behaviour 0/3232 (0%) 0 1/3260 (0%) 1
Schizophreniform disorder 0/3232 (0%) 0 1/3260 (0%) 1
Suicide attempt 2/3232 (0.1%) 2 0/3260 (0%) 0
Renal and urinary disorders
Acute prerenal failure 0/3232 (0%) 0 1/3260 (0%) 1
Anuria 1/3232 (0%) 1 0/3260 (0%) 0
Calculus ureteric 1/3232 (0%) 1 1/3260 (0%) 1
Calculus urinary 1/3232 (0%) 1 0/3260 (0%) 0
Diabetic nephropathy 1/3232 (0%) 1 1/3260 (0%) 2
Glomerulonephritis chronic 1/3232 (0%) 1 0/3260 (0%) 0
Nephrolithiasis 2/3232 (0.1%) 2 1/3260 (0%) 1
Nephropathy toxic 1/3232 (0%) 1 1/3260 (0%) 1
Nephrotic syndrome 1/3232 (0%) 1 0/3260 (0%) 0
Polyuria 1/3232 (0%) 1 0/3260 (0%) 0
Renal artery stenosis 1/3232 (0%) 1 0/3260 (0%) 0
Renal colic 2/3232 (0.1%) 2 0/3260 (0%) 0
Renal failure 14/3232 (0.4%) 14 14/3260 (0.4%) 14
Renal failure acute 11/3232 (0.3%) 13 7/3260 (0.2%) 7
Renal failure chronic 2/3232 (0.1%) 2 4/3260 (0.1%) 4
Renal impairment 1/3232 (0%) 1 1/3260 (0%) 1
Stress incontinence 1/3232 (0%) 1 0/3260 (0%) 0
Urethral stenosis 0/3232 (0%) 0 1/3260 (0%) 2
Urinary retention 1/3232 (0%) 2 0/3260 (0%) 0
Reproductive system and breast disorders
Benign prostatic hyperplasia 5/3232 (0.2%) 5 2/3260 (0.1%) 2
Endometrial hyperplasia 1/3232 (0%) 1 1/3260 (0%) 1
Metrorrhagia 0/3232 (0%) 0 1/3260 (0%) 1
Ovarian cyst 0/3232 (0%) 0 2/3260 (0.1%) 2
Phimosis 0/3232 (0%) 0 1/3260 (0%) 1
Postmenopausal haemorrhage 1/3232 (0%) 1 0/3260 (0%) 0
Uterine haemorrhage 0/3232 (0%) 0 2/3260 (0.1%) 2
Respiratory, thoracic and mediastinal disorders
Acute pulmonary oedema 20/3232 (0.6%) 25 25/3260 (0.8%) 31
Acute respiratory distress syndrome 0/3232 (0%) 0 1/3260 (0%) 1
Acute respiratory failure 2/3232 (0.1%) 2 3/3260 (0.1%) 3
Alveolitis allergic 1/3232 (0%) 1 0/3260 (0%) 0
Asthma 2/3232 (0.1%) 3 4/3260 (0.1%) 12
Asthmatic crisis 0/3232 (0%) 0 1/3260 (0%) 1
Bronchial hyperactivity 0/3232 (0%) 0 1/3260 (0%) 1
Bronchopneumopathy 1/3232 (0%) 1 0/3260 (0%) 0
Bronchospasm 0/3232 (0%) 0 1/3260 (0%) 1
Chronic obstructive pulmonary disease 35/3232 (1.1%) 53 33/3260 (1%) 50
Chronic respiratory failure 2/3232 (0.1%) 2 0/3260 (0%) 0
Diaphragmatic hernia 0/3232 (0%) 0 1/3260 (0%) 1
Dyspnoea 1/3232 (0%) 1 3/3260 (0.1%) 4
Dyspnoea at rest 0/3232 (0%) 0 1/3260 (0%) 1
Dyspnoea exacerbated 1/3232 (0%) 1 2/3260 (0.1%) 2
Emphysema 0/3232 (0%) 0 1/3260 (0%) 1
Epistaxis 2/3232 (0.1%) 2 1/3260 (0%) 1
Haemopneumothorax 1/3232 (0%) 1 0/3260 (0%) 0
Haemoptysis 1/3232 (0%) 1 0/3260 (0%) 0
Hydrothorax 0/3232 (0%) 0 1/3260 (0%) 1
Interstitial lung disease 3/3232 (0.1%) 3 2/3260 (0.1%) 2
Nasal cyst 1/3232 (0%) 1 0/3260 (0%) 0
Non-cardiogenic pulmonary oedema 1/3232 (0%) 1 0/3260 (0%) 0
Pleural effusion 1/3232 (0%) 1 3/3260 (0.1%) 3
Pleurisy 3/3232 (0.1%) 3 2/3260 (0.1%) 2
Pneumonia aspiration 1/3232 (0%) 1 1/3260 (0%) 1
Pneumonitis 1/3232 (0%) 1 0/3260 (0%) 0
Pneumothorax 1/3232 (0%) 1 0/3260 (0%) 0
Pulmonary embolism 8/3232 (0.2%) 9 23/3260 (0.7%) 24
Pulmonary fibrosis 1/3232 (0%) 1 1/3260 (0%) 1
Pulmonary hypertension 0/3232 (0%) 0 2/3260 (0.1%) 2
Pulmonary infarction 0/3232 (0%) 0 2/3260 (0.1%) 3
Respiratory arrest 1/3232 (0%) 1 0/3260 (0%) 0
Respiratory failure 5/3232 (0.2%) 5 5/3260 (0.2%) 5
Sleep apnoea syndrome 4/3232 (0.1%) 4 4/3260 (0.1%) 4
Status asthmaticus 0/3232 (0%) 0 1/3260 (0%) 1
Skin and subcutaneous tissue disorders
Cutaneous lupus erythematosus 1/3232 (0%) 1 0/3260 (0%) 0
Decubitus ulcer 1/3232 (0%) 1 0/3260 (0%) 0
Dermatitis atopic 0/3232 (0%) 0 2/3260 (0.1%) 2
Dry gangrene 0/3232 (0%) 0 1/3260 (0%) 1
Eczema 0/3232 (0%) 0 1/3260 (0%) 1
Pruritus 0/3232 (0%) 0 1/3260 (0%) 1
Psoriasis 1/3232 (0%) 1 0/3260 (0%) 0
Skin ulcer 1/3232 (0%) 1 3/3260 (0.1%) 3
Subcutaneous emphysema 0/3232 (0%) 0 1/3260 (0%) 1
Social circumstances
Social stay hospitalisation 0/3232 (0%) 0 1/3260 (0%) 1
Surgical and medical procedures
Alcohol detoxification 1/3232 (0%) 1 0/3260 (0%) 0
Arrhythmia prophylaxis 1/3232 (0%) 1 0/3260 (0%) 0
Arterial bypass operation 1/3232 (0%) 1 1/3260 (0%) 1
Cardiac ablation 1/3232 (0%) 1 0/3260 (0%) 0
Cardiac aneurysm repair 1/3232 (0%) 1 0/3260 (0%) 0
Cardiac pacemaker insertion 4/3232 (0.1%) 4 0/3260 (0%) 0
Cardiac rehabilitation therapy 7/3232 (0.2%) 9 7/3260 (0.2%) 10
Cardiac resynchronisation therapy 20/3232 (0.6%) 21 29/3260 (0.9%) 30
Carotid endarterectomy 1/3232 (0%) 1 0/3260 (0%) 0
Cataract operation 1/3232 (0%) 2 2/3260 (0.1%) 2
Cholecystectomy 0/3232 (0%) 0 1/3260 (0%) 1
Coronary angioplasty 1/3232 (0%) 1 1/3260 (0%) 1
Coronary arterial stent insertion 1/3232 (0%) 1 5/3260 (0.2%) 5
Coronary artery surgery 12/3232 (0.4%) 12 5/3260 (0.2%) 5
Coronary revascularisation 1/3232 (0%) 1 0/3260 (0%) 0
Diabetes mellitus management 1/3232 (0%) 1 1/3260 (0%) 1
Ear operation 0/3232 (0%) 0 1/3260 (0%) 1
Eventration procedure 1/3232 (0%) 1 0/3260 (0%) 0
Gastric banding 1/3232 (0%) 1 0/3260 (0%) 0
Heart transplant 1/3232 (0%) 1 4/3260 (0.1%) 4
Hip arthroplasty 0/3232 (0%) 0 1/3260 (0%) 1
Implantable defibrillator insertion 17/3232 (0.5%) 17 21/3260 (0.6%) 21
Implantable defibrillator replacement 0/3232 (0%) 0 4/3260 (0.1%) 4
Incisional hernia repair 0/3232 (0%) 0 1/3260 (0%) 1
Inguinal hernia repair 0/3232 (0%) 0 2/3260 (0.1%) 2
Knee arthroplasty 1/3232 (0%) 1 2/3260 (0.1%) 2
Knee operation 0/3232 (0%) 0 1/3260 (0%) 1
Mitral valve replacement 0/3232 (0%) 0 1/3260 (0%) 1
Obesity surgery 1/3232 (0%) 1 0/3260 (0%) 0
Percutaneous coronary intervention 5/3232 (0.2%) 5 2/3260 (0.1%) 2
Physiotherapy 0/3232 (0%) 0 1/3260 (0%) 1
Rehabilitation therapy 2/3232 (0.1%) 2 2/3260 (0.1%) 2
Renal tumour excision 0/3232 (0%) 0 1/3260 (0%) 1
Tooth extraction 2/3232 (0.1%) 2 0/3260 (0%) 0
Transurethral prostatectomy 1/3232 (0%) 1 0/3260 (0%) 0
Ureteral stent removal 1/3232 (0%) 1 0/3260 (0%) 0
Weight loss diet 0/3232 (0%) 0 1/3260 (0%) 1
Vascular disorders
Aortic aneurysm 1/3232 (0%) 1 3/3260 (0.1%) 4
Aortic aneurysm rupture 0/3232 (0%) 0 1/3260 (0%) 1
Aortic dissection 0/3232 (0%) 0 1/3260 (0%) 1
Aortic stenosis 0/3232 (0%) 0 1/3260 (0%) 1
Arterial thrombosis limb 3/3232 (0.1%) 3 4/3260 (0.1%) 4
Arteriosclerosis 1/3232 (0%) 1 0/3260 (0%) 0
Arteriosclerosis obliterans 3/3232 (0.1%) 3 3/3260 (0.1%) 4
Bleeding varicose vein 0/3232 (0%) 0 1/3260 (0%) 1
Blood pressure inadequately controlled 17/3232 (0.5%) 19 13/3260 (0.4%) 13
Deep vein thrombosis 1/3232 (0%) 1 7/3260 (0.2%) 7
Diabetic macroangiopathy 0/3232 (0%) 0 1/3260 (0%) 1
Diabetic vascular disorder 0/3232 (0%) 0 1/3260 (0%) 1
Extremity necrosis 0/3232 (0%) 0 1/3260 (0%) 1
Femoral artery aneurysm 1/3232 (0%) 3 0/3260 (0%) 0
Femoral artery dissection 0/3232 (0%) 0 1/3260 (0%) 1
Femoral artery occlusion 2/3232 (0.1%) 2 1/3260 (0%) 1
Haematoma 1/3232 (0%) 1 1/3260 (0%) 1
Hypertension 1/3232 (0%) 1 1/3260 (0%) 1
Hypertensive crisis 5/3232 (0.2%) 5 5/3260 (0.2%) 5
Hypertensive emergency 2/3232 (0.1%) 3 0/3260 (0%) 0
Hypotension 3/3232 (0.1%) 3 5/3260 (0.2%) 5
Iliac artery embolism 1/3232 (0%) 1 0/3260 (0%) 0
Iliac artery occlusion 0/3232 (0%) 0 1/3260 (0%) 1
Iliac artery thrombosis 0/3232 (0%) 0 1/3260 (0%) 1
Intermittent claudication 1/3232 (0%) 1 0/3260 (0%) 0
Lymphoedema 0/3232 (0%) 0 1/3260 (0%) 1
Orthostatic hypotension 4/3232 (0.1%) 4 2/3260 (0.1%) 2
Peripheral arterial occlusive disease 15/3232 (0.5%) 15 15/3260 (0.5%) 18
Peripheral artery aneurysm 1/3232 (0%) 1 1/3260 (0%) 1
Peripheral embolism 3/3232 (0.1%) 4 1/3260 (0%) 1
Peripheral ischaemia 1/3232 (0%) 1 5/3260 (0.2%) 7
Peripheral vascular disorder 0/3232 (0%) 0 1/3260 (0%) 1
Subclavian artery stenosis 1/3232 (0%) 1 0/3260 (0%) 0
Thrombophlebitis 1/3232 (0%) 1 0/3260 (0%) 0
Thrombophlebitis superficial 0/3232 (0%) 0 2/3260 (0.1%) 2
Thrombosis 0/3232 (0%) 0 1/3260 (0%) 1
Varicose vein 1/3232 (0%) 1 1/3260 (0%) 1
Venous thrombosis limb 2/3232 (0.1%) 2 0/3260 (0%) 0
Other (Not Including Serious) Adverse Events
Ivabradine Placebo
Affected / at Risk (%) # Events Affected / at Risk (%) # Events
Total 2062/3232 (63.8%) 2020/3260 (62%)
Blood and lymphatic system disorders
Anaemia 91/3232 (2.8%) 93 92/3260 (2.8%) 96
Cardiac disorders
Angina pectoris 85/3232 (2.6%) 97 93/3260 (2.9%) 109
Atrial fibrillation 161/3232 (5%) 176 123/3260 (3.8%) 138
Atrioventricular block first degree 35/3232 (1.1%) 38 36/3260 (1.1%) 42
Bradycardia 134/3232 (4.1%) 142 26/3260 (0.8%) 30
Cardiac failure 289/3232 (8.9%) 337 299/3260 (9.2%) 369
Sinus tachycardia 40/3232 (1.2%) 45 102/3260 (3.1%) 115
Supraventricular extrasystoles 39/3232 (1.2%) 41 49/3260 (1.5%) 50
Ventricular extrasystoles 129/3232 (4%) 140 131/3260 (4%) 137
Ventricular tachycardia 34/3232 (1.1%) 37 26/3260 (0.8%) 28
Eye disorders
Phosphenes 89/3232 (2.8%) 95 16/3260 (0.5%) 18
Gastrointestinal disorders
Gastritis 34/3232 (1.1%) 34 36/3260 (1.1%) 36
Infections and infestations
Bronchitis 38/3232 (1.2%) 44 34/3260 (1%) 40
Bronchitis acute 59/3232 (1.8%) 64 68/3260 (2.1%) 79
Influenza 66/3232 (2%) 74 68/3260 (2.1%) 76
Nasopharyngitis 66/3232 (2%) 70 70/3260 (2.1%) 85
Pneumonia 56/3232 (1.7%) 60 69/3260 (2.1%) 78
Respiratory tract infection 39/3232 (1.2%) 40 25/3260 (0.8%) 28
Respiratory tract infection viral 30/3232 (0.9%) 33 34/3260 (1%) 36
Upper respiratory tract infection 33/3232 (1%) 35 52/3260 (1.6%) 55
Urinary tract infection 24/3232 (0.7%) 24 37/3260 (1.1%) 40
Injury, poisoning and procedural complications
Fall 36/3232 (1.1%) 40 42/3260 (1.3%) 47
Investigations
Blood creatinine increased 55/3232 (1.7%) 58 47/3260 (1.4%) 49
Heart rate decreased 178/3232 (5.5%) 193 45/3260 (1.4%) 46
Transaminases increased 46/3232 (1.4%) 48 42/3260 (1.3%) 42
Metabolism and nutrition disorders
Diabetes mellitus 32/3232 (1%) 32 35/3260 (1.1%) 35
Diabetes mellitus inadequate control 116/3232 (3.6%) 125 115/3260 (3.5%) 125
Hypercholesterolaemia 33/3232 (1%) 33 34/3260 (1%) 34
Hyperkalaemia 27/3232 (0.8%) 29 53/3260 (1.6%) 56
Hyperuricaemia 47/3232 (1.5%) 47 52/3260 (1.6%) 52
Musculoskeletal and connective tissue disorders
Osteoarthritis 24/3232 (0.7%) 24 40/3260 (1.2%) 42
Nervous system disorders
Dizziness 55/3232 (1.7%) 62 45/3260 (1.4%) 50
Headache 43/3232 (1.3%) 45 58/3260 (1.8%) 67
Renal and urinary disorders
Renal failure 50/3232 (1.5%) 53 69/3260 (2.1%) 71
Renal failure chronic 27/3232 (0.8%) 28 45/3260 (1.4%) 45
Respiratory, thoracic and mediastinal disorders
Chronic obstructive pulmonary disease 37/3232 (1.1%) 42 55/3260 (1.7%) 68
Cough 42/3232 (1.3%) 44 44/3260 (1.3%) 44
Vascular disorders
Blood pressure inadequately controlled 216/3232 (6.7%) 259 188/3260 (5.8%) 215
Hypotension 59/3232 (1.8%) 62 82/3260 (2.5%) 91

Limitations/Caveats

The section Other Adverse Events (Not including serious) has been completed by the sponsor to include only the Non Serious Adverse Events emergent on treatment during the study.

More Information

Certain Agreements

Principal Investigators are NOT employed by the organization sponsoring the study.

The only disclosure restriction on the PI is that the sponsor can review publication and/or communication related to the study results and can require changes. In case of a patent application, the sponsor can delay its authorization for publication or communication of the study results until the date of international registration of the patent.

Results Point of Contact

Name/Title Therapeutic Innovation Pole
Organization Institut de Recherches Internationales Servier (I.R.I.S.)
Phone +33155724366
Email clinicaltrials@servier.com
Responsible Party:
Institut de Recherches Internationales Servier
ClinicalTrials.gov Identifier:
NCT02441218
Other Study ID Numbers:
  • CL3-16257-063
  • 2006-000708-18
First Posted:
May 12, 2015
Last Update Posted:
Jan 3, 2020
Last Verified:
Jan 1, 2020