QUALITY IMPROVEMENT
Reminders in echocardiography reports increased use of β blockers in reduced left ventricular ejection fraction
In patients with reduced left ventricular ejection fraction (LVEF), do clinical reminders attached to echocardiography reports increase use of β blockers?
| The first 150 words of the full text of this article appear below. |
Heidenreich PA, Gholami P, Sahay A, et al. Clinical reminders attached to echocardiography reports of patients with reduced left ventricular ejection fraction increase use of b-blockers. A randomized trial. Circulation 2007;115:2829–34.
Clinical impact ratings GP/FP/Primary care 
IM/Ambulatory care Cardiology
METHODS
Design:randomised controlled trial.
Allocation:concealed.*
Blinding:
{blinded (data collectors)}
.*
Follow-up period:9 months after echocardiography.
Setting:3 Veterans Affairs (VA) echocardiography laboratories in the US.
Patients:
1546 patients with LVEF <45%, assessed by attending echocardiographer. Exclusion criteria were aortic stenosis (mean valve gradient 
20 mm Hg) or mitral stenosis (mean gradient 5 mm Hg).
Intervention:
the echocardiography report of the reminder group (n = 755) included a written reminder that β blockers (carvedilol, initial dose 3.125 mg twice daily, or metoprolol, initial dose 12.5 mg twice daily) improve survival in patients with reduced LVEF and recommended cardiology follow-up for patients with New York Heart Association class III or IV symptoms. Reminders were not placed
United Arab Emirates University, Al Ain, United Arab Emirates
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