A case report of ivabradine used for heart rate control of atrial fibrillation in acute decompensated heart failure

ABSTRACT: Abstract

Background

Achieving pharmacologic rate control in patients with atrial fibrillation (AF) with rapid ventricular response (RVR) can be tricky when the patient’s underlying cardiac function is decreased. We present a case illustrating how ivabradine can be useful in this clinical scenario.

Case summary

A 95-year-old woman with a history of systolic heart failure (HF) presented with acute decompensated HF in AF with RVR. Beta blockade and calcium channel blockade were avoided given her cardiac history, and diuresis with high doses of furosemide was ineffective. Her ventricular response slowed with ivabradine, allowing for rapid decongestion and a safe discharge home.

Discussion

Ivabradine acts on the If current of cardiac pacemaker cells to slow heart rate

SUBMITTER: Hardison E 

PROVIDER: S-EPMC8877172 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature