What are the contraindications to beta-blocker administration prior to coronary computed tomography angiography (CCTA)?

Updated: Dec 21, 2017
  • Author: Eugene C Lin, MD; Chief Editor: Eugene C Lin, MD  more...
  • Print


Possible contraindications to beta-blocker administration include the following [6, 60] :

  • Heart rate slower than 60 bpm

  • Systolic blood pressure lower than 100 mm Hg

  • Asthma or chronic obstructive pulmonary disease (COPD) on beta2 -agonist inhaler

  • Active bronchospasm

  • Second- or third-degree atrioventricular block

  • Sick sinus syndrome

  • Decompensated cardiac failure

  • Pheochromocytoma (can be given in combination with an alpha blocker if the alpha blocker has been initiated beforehand)

  • Allergy to beta blockers

Beta blockers should be used with caution in patients with severe peripheral vascular disease and in patients taking calcium channel blockers.

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!