This clinical trial focuses on patients with ischemic heart disease who need to undergo a cardiac CT scan. The study compares different medications used to control heart rate before the imaging procedure. The medications being tested include ivabradine and two types of beta-blockers: atenolol combined with chlortalidone, and metoprolol succinate.
The purpose of this research is to find out which medication works fastest to lower heart rate in patients whose resting heart rate is above 65 beats per minute. The medications will be given by mouth, with different maximum daily doses: ivabradine up to 15 mg, atenolol up to 100 mg, and metoprolol succinate up to 200 mg.
During the study, patients will receive one of these medications before their cardiac CT scan. The heart rate will be monitored to see how quickly it decreases after taking the medication. A cardiac CT scan is a specialized X-ray examination that provides detailed images of the heart and blood vessels.



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