Telephone-Based Guideline-Directed Medical Therapy Optimization in Navajo Nation: The Hozho Randomized Clinical Trial.

ABSTRACT:

Importance

Underutilization of guideline-directed medical therapy for heart failure with reduced ejection fraction is a major cause of poor outcomes. For many American Indian patients receiving care through the Indian Health Service, access to care, especially cardiology care, is limited, contributing to poor uptake of recommended therapy.

Objective

To examine whether a telehealth model in which guideline-directed medical therapy is initiated and titrated over the phone with remote telemonitoring using a home blood pressure cuff improves guideline-directed medical therapy use (eg, drug classes and dosage) in patients with heart failure with reduced ejection fraction in Navajo Nation.

Design, setting, and participants

The Heart Failure Optimization at Home to Improve O

SUBMITTER: Eberly LA 

PROVIDER: S-EPMC11000136 | biostudies-literature | 2024 Jun

REPOSITORIES: biostudies-literature