Evidence mapPaperPMID 39037564Full record

ReviewHeart failure reviews2024

High-intensity care for GDMT titration.

Jan Biegus, Matteo Pagnesi, Beth Davison, Piotr Ponikowski, Alexander Mebazaa, Gadi Cotter

Abstract readReview
In one paragraph

Review in Heart failure reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Jan BiegusInstitute of Heart Diseases, Wroclaw Medical University, 50-556 Wroclaw, Borowska 213, Poland. jan.biegus@umw.edu.pl.ORCID 0000-0001-9977-7722
Matteo PagnesiCardiology, ASST Spedali Civili and Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, University of Brescia, Brescia, Italy.
Beth DavisonMomentum Research Inc, Durham, NC, USA.
Piotr PonikowskiInstitute of Heart Diseases, Wroclaw Medical University, 50-556 Wroclaw, Borowska 213, Poland.
Alexander MebazaaUniversité Paris Cité, INSERM UMR-S 942(MASCOT), Paris, France.
Gadi CotterMomentum Research Inc, Durham, NC, USA.

Funding

Uniwersytet Medyczny im. Piastów Slaskich we Wroclawiu SUBZ.A460.24.040
6 · The paper itself

Abstract

Heart failure (HF) is a systemic disease associated with a high risk of morbidity, mortality, increased risk of hospitalizations, and low quality of life. Therefore, effective, systemic treatment strategies are necessary to mitigate these risks. In this manuscript, we emphasize the concept of high-intensity care to optimize guideline-directed medical therapy (GDMT) in HF patients. The document highlights the importance of achieving optimal recommended doses of GDMT medications, including beta-blockers, renin-angiotensin-aldosterone inhibitors, mineralocorticoid receptor antagonists, and sodium-glucose cotransporter inhibitors to improve patient outcomes, achieve effective, sustainable decongestion, and improve patient quality of life. The document also discusses potential obstacles to GDMT optimization, such as clinical inertia, physiological limitations, comorbidities, non-adherence, and frailty. Lastly, it also attempts to provide possible future scenarios of high-intensive care that could improve patient outcomes.

Indexed as

Heart FailureAdrenergic beta-AntagonistsHumansMineralocorticoid Receptor AntagonistsPractice Guidelines as TopicQuality of LifeAdrenergic beta-AntagonistsMineralocorticoid Receptor AntagonistsGDMT (guideline-directed medical therapy)GDMT optimizationPharmacotherapyUp-titration

Identifiers

PMID39037564
PMCPMC11306642

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.