Rationale and design of a navigator-driven remote optimization of guideline-directed medical therapy in patients with heart failure with reduced ejection fraction

Rationale and design of a navigator-driven remote optimization of guideline-directed medical therapy in patients with heart failure with reduced ejection fraction
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DOI:
10.1002/clc.23291
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发表时间:
2019-11-14
影响因子:
2.7
通讯作者:
Desai, Akshay S.
Desai, Akshay S.
中科院分区:
医学3区
文献类型:
--
作者:
Blood, Alexander J.;Fischer, Christina M.;Desai, Akshay S.

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Although optimal pharmacological therapy for heart failure with reduced ejection fraction (HFrEF) is carefully scripted by treatment guidelines, many eligible patients are not treated with guideline-directed medical therapy (GDMT) in clinical practice. We designed a strategy for remote optimization of GDMT on a population scale in patients with HFrEF leveraging nonphysician providers. An electronic health record-based algorithm was used to identify a cohort of patients with a diagnosis of heart failure (HF) and ejection fraction (EF)