Ankeet S Bhatt, Anubodh S Varshney, Alea Moscone, Brian L Claggett, Zi Michael Miao, Safia Chatur, Mathew S Lopes, John W Ostrominski, Maria A Pabon, Ozan Unlu, Xiaowen Wang, Thomas D Bernier, Leo F Buckley, Bryan Cook, Rachael Eaton, Jillian Fiene, Dareen Kanaan, Julie Kelly, Danielle M Knowles, Kenneth Lupi, Lina S Matta, Liriany Y Pimentel, Megan N Rhoten, Rhynn Malloy, Clara Ting, Rosette Chhor, Joshua R Guerin, Scott L Schissel, Brenda Hoa, Connie H Lio, Kristina Milewski, Michelle E Espinosa, Zhenzhen Liu, Ralph McHatton, Jonathan W Cunningham, Karola S Jering, John H Bertot, Gurleen Kaur, Adeel Ahmad, Muhammad Akash, Farideh Davoudi, Mona Z Hinrichsen, David L Rabin, Patrick L Gordan, David J Roberts, Daniela Urma, Erin E McElrath, Emily D Hinchey, Niteesh K Choudhry, Mahan Nekoui, Scott D Solomon, Dale S Adler, Muthiah Vaduganathan
BACKGROUND: Scalable and safe approaches for heart failure guideline-directed medical therapy (GDMT) optimization are needed. OBJECTIVES: The authors assessed the safety and effectiveness of a virtual care team guided strategy on GDMT optimization in hospitalized patients with heart failure with reduced ejection fraction (HFrEF). METHODS: In a multicenter implementation trial, we allocated 252 hospital encounters in patients with left ventricular ejection fraction ≤40% to a virtual care team guided strategy (107 encounters among 83 patients) or usual care (145 encounters among 115 patients) across 3 centers in an integrated health system...
May 2, 2023: Journal of the American College of Cardiology