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IVABRADINE TAB

Clinical Criteria Summary

Exclusion Criteria

  • Acute decompensated heart failure
  • Recent myocardial infarction (within the past 2 months)
  • Cardiac resynchronization therapy started (within past 6 months)
  • Atrial fibrillation or atrial flutter
  • Congenital heart disease as etiology of heart failure
  • Primary severe valvular heart disease as etiology of heart failure
  • Clinically significant hypotension
  • Sick sinus syndrome, sinoatrial block or 2nd or 3rd degree atrioventricular block (unless a functioning demand pacemaker is present)
  • Pacemaker with atrial or ventricular pacing greater than 40% of the time, or with stimulation threshold at the atrial or ventricular level at least 60 beats per minute
  • Family history or congenital long QT syndrome or treated with selected QT-prolonging agents
  • Concomitant Class I antiarrhythmic agents
  • Concomitant diltiazem or verapamil
  • Concomitant strong or moderate CYP3A4 inhibitors, or CYP3A4 inducers
  • Severe hepatic impairment (Child-Pugh C)

Inclusion Criteria

  • Provider Requirement: Initial prescription must be provided by a VA/VA Community Care cardiologist or other locally designated provider.
  • Indication 1: Stable, symptomatic chronic heart failure with reduced left ventricular ejection fraction (≤35%), on guideline-directed medical therapy including a beta-blocker at maximum tolerated dose (or unable to use), in normal sinus rhythm, with resting heart rate at least 70 bpm.
  • Indication 2: Symptomatic inappropriate sinus tachycardia with persistent symptoms despite treatment with a beta-blocker, or unable to use a beta-blocker.
  • Heart Rate Measurement Standard: Resting heart rate must be measured by 12-lead electrocardiogram after at least 5 minutes rest on 2 consecutive visits.

Additional Inclusion Criteria

  • Females of Childbearing Potential: For patients who can become pregnant, counseling must be provided on potential risks vs benefits of treatment and the use of effective contraception during therapy.

Source Documents