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Guideline‐directed medical therapy rates in heart failure patients with reduced ejection fraction in a diverse cohort

Natalia C. Berry, Yi-shin Sheu, Karen Chesbrough, R. Bishop, Suma Vupputuri

ESC Heart Failure, 2025

9 citations

Abstract

Guideline‐directed medical therapy (GDMT) is recommended for all patients with heart failure with reduced ejection fraction (HFrEF). Despite this, little data exist describing GDMT use in diverse, real‐world populations including the use of vasodilators, prescribed primarily to Black populations. We sought, among a diverse population of HFrEF patients, to determine (1) GDMT use rates and target dosing by medication class and (2) predictors of GDMT use and target dosing by medication class.

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Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence.

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