A GP asks about ivabradine for a patient with heart failure who remains symptomatic despite treatment. The patient is in atrial fibrillation with a

Question

A GP asks about ivabradine for a patient with heart failure who remains symptomatic despite treatment. The patient is in atrial fibrillation with a resting heart rate of 96 beats per minute. What is the most appropriate alternative?

Accepted Answer

Optimise standard heart failure and rate-control therapy rather than ivabradine

Answer

Start ivabradine because the pulse is above 70 beats per minute

Answer

Combine ivabradine with verapamil for stronger rate control

Answer

Use ivabradine as required during palpitations

Answer

Use ivabradine instead of anticoagulation in atrial fibrillation

Ivabradine eligibility — GPhC CRA MCQ

A GP asks about ivabradine for a patient with heart failure who remains symptomatic despite treatment. The patient is in atrial fibrillation with a resting heart rate of 96 beats per minute. What is the most appropriate alternative?