5 min
Acute CHF: GDMT Up-titration After Hospitalization for Acute HF (STRONG-HF Trial) 'Why we do What we do in Cardiology'
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- Medicine
Study: STRONG-HF trial examined rapid up-titration of heart failure medications (GDMT) after hospitalization.
Goal: Reach optimal GDMT doses within 2 weeks after discharge.
Findings:
Over 90% of patients achieved medium-to-high GDMT doses within 2 weeks.
Patients with lower blood pressure, more congestion, and higher risk markers received less up-titration.
Higher GDMT doses:
Associated with lower rates of readmission or death for heart failure within 6 months.
Led to greater improvements in quality of life.
Were safe and well-tolerated.
Implications:
Efforts should be made to quickly reach optimal GDMT doses for most patients after hospitalization for heart failure.
Individual factors like blood pressure and congestion may influence up-titration.
This approach offers potential benefits for improving outcomes and quality of life.
Note: This study focused on three main GDMT classes (RAAS inhibitors, beta-blockers, MRAs). Newer drugs like SGLT2 inhibitors were not included but might also benefit from early initiation. Further research is needed on their effectiveness in this context.
Link:
doi:10.1001/jamacardio.2023.4553
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Study: STRONG-HF trial examined rapid up-titration of heart failure medications (GDMT) after hospitalization.
Goal: Reach optimal GDMT doses within 2 weeks after discharge.
Findings:
Over 90% of patients achieved medium-to-high GDMT doses within 2 weeks.
Patients with lower blood pressure, more congestion, and higher risk markers received less up-titration.
Higher GDMT doses:
Associated with lower rates of readmission or death for heart failure within 6 months.
Led to greater improvements in quality of life.
Were safe and well-tolerated.
Implications:
Efforts should be made to quickly reach optimal GDMT doses for most patients after hospitalization for heart failure.
Individual factors like blood pressure and congestion may influence up-titration.
This approach offers potential benefits for improving outcomes and quality of life.
Note: This study focused on three main GDMT classes (RAAS inhibitors, beta-blockers, MRAs). Newer drugs like SGLT2 inhibitors were not included but might also benefit from early initiation. Further research is needed on their effectiveness in this context.
Link:
doi:10.1001/jamacardio.2023.4553
---
Send in a voice message: https://podcasters.spotify.com/pod/show/dr-bishnu-subedi/message
5 min