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This medication is used by people with a certain heart problem (chronic heart failure), to help prevent it from getting worse and needing treatment in a hospital. Heart failure is a condition where your heart does not pump blood as well as it should. Ivabradine works by making your heart beat more slowly. It should not be used if you have a slow resting heartbeat (less than 60 beats per minute) before starting ivabradine, low blood pressure, or if your heart failure symptoms have recently gotten worse.