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Quality improvement
Reminders in echocardiography reports increased use of β blockers in reduced left ventricular ejection fraction

http://dx.doi.org/10.1136/ebm.12.6.185

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    In patients with reduced left ventricular ejection fraction (LVEF), do clinical reminders attached to echocardiography reports increase use of β blockers?

    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

    Embedded ImageDesign:

    randomised controlled trial.

    Embedded ImageAllocation:

    concealed.*

    Embedded ImageBlinding:

    {blinded (data collectors)}†.*

    Embedded ImageFollow-up period:

    9 months after echocardiography.

    Embedded ImageSetting:

    3 Veterans Affairs (VA) echocardiography laboratories in the US.

    Embedded ImagePatients:

    1546 patients with LVEF <45%, assessed by attending echocardiographer. Exclusion criteria were aortic stenosis (mean valve gradient ⩾20 mm Hg) or mitral stenosis (mean …

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    Footnotes

    • Sources of funding: VA Health Services Research Development Office and American Society of Echocardiography.