Question

A 60-year-old with HFrEF and EF 25% in sinus rhythm HR 84/min on max beta-blocker/ARNI/MRA/SGLT2 asks about ivabradine. Indication?

Accepted Answer

Indicated only if HR ≥70/min despite max beta-blocker

Answer

Indicated now

Answer

Contraindicated if HR <90/min

Answer

Use only with atrial fibrillation

Answer

Replace beta-blocker

Practice question

A 60-year-old with HFrEF and EF 25% in sinus rhythm HR 84/min on max beta-blocker/ARNI/MRA/SGLT2 asks about ivabradine. Indication?