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A centralised telephone intervention reduced combined all cause mortality or admission for worsening HF in chronic heart failure

Clinical impact ratings GP/FP/Primary care Internal medicine Cardiology

Key Words: ambulatory care • cardiac output (low) • hotlines

The first 150 words of the full text of this article appear below.

METHODS
Design: randomised controlled trial.

Allocation: concealed.^*

Blinding: blinded (outcome adjudicators {and data analysts}).^*

Follow up period: mean 16 months (range 7–27 mo).

Setting: 51 centres (public and private hospitals and ambulatory settings) in Argentina.

Patients: 1518 outpatients (mean age 65 y, 71% men) who were 18 years of age; had stable HF diagnosed 3 months previously, with no admissions in the past 2 months; and had optimal drug treatment that was not modified for 2 months before the trial. Exclusion criteria included need for >1 medical visit per month; HF related to hypertrophic cardiomyopathy, significant valvular lesion, pericarditis or pericardial tamponade, primary pulmonary hypertension or cor pulmonale, or congenital cardiac malformations; reversible cardiomyopathy; recent (3 mo) myocardial infarction or unstable angina; recent cardiac surgery/angioplasty; planned cardiac surgery or heart transplantation; symptomatic sustained ventricular tachycardia or recent history of ventricular fibrillation; regular IV pulse therapy; recent stroke; symptomatic sick . . . [Full text of this article]

Adrian F Hernandez, MD

Duke University, Durham, North Carolina, USA

Relevant Article

Glossary
Evid. Based Med. 2006 11: 63a. (in Glossary) [Extract] [Full Text] [PDF]