Successful treatment with ivabradine in a β-blocker refractory patient
with acute decompensated HFrEF
Abstract
Ivabradine is an established treatment for chronic heart failure with
reduced ejection fraction (HFrEF) but not for acute heart failure.
β-blocker up-titration is often not possible because of its negative
inotropic effect (NIE). Ivabradine has no NIE; therefore, it may be
preferred over β-blockers in patients with acute decompensated HFrEF.