Effectiveness of point-of-care oral ivabradine for cardiac computed tomography.

Abstract:

BACKGROUND:Coronary CT angiography (CCTA) is increasing seen as a first line investigation in patients with suspected coronary artery disease. Heart-rate control improves the image quality and diagnostic accuracy of CCTA. Typically, beta-blockers are administered to induce sinus bradycardia. Sinus bradycardia may also be induced by ivabradine. We hypothesized that in a real-world population ivabradine would be an effective alternative to metoprolol at heart rate lowering for CCTA. METHODS:This was a retrospective analysis of consecutive patients who were exposed to an ivabradine-based (IB) versus a metoprolol-only (MO) protocol to achieve a target heart rate 65 and received heart-rate lowering medication: 1958 patients had MO, and 718 received IB protocol. Target heart rate of

authors

Guler EC,Yam Y,Jia K,El Mais H,Hossain A,Chow BJW,Small GR

doi

10.1016/j.jcct.2020.09.006

subject

Has Abstract

pub_date

2020-10-06 00:00:00

eissn

1934-5925

issn

1876-861X

pii

S1934-5925(20)30445-7

pub_type

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