Electronic Medical Record Alerts to Optimize Medical Therapy in Heart Failure and Reduced Ejection Fraction (OPTIMAL-HF)

Instituto Cardiovascular de Buenos Aires

Status: Not yet enrolling

Conditions: HFrEF - Heart Failure With Reduced Ejection Fraction

Treatments: Other: EMR alert

Study type: Interventional

Funder types: Other

Identifiers

NCT06166823

01

Details and patient eligibility

About

OPTIMAL-HF is a pragmatic, cluster randomized, single-blind intervention trial that will be conducted at an outpatient clinic in Argentina. The trial will assess the effectiveness of an individualized-based alert system compared to usual care in improving GDMT optimization at 90 days in patients with HFrEF.

Enrollment: 240 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Patients

Inclusion Criteria:

• Eligible patients will include those with an EF ≤ 40% on their most recent echocardiogram, age > 18, and an outpatient cardiology encounter during the study period.
• Age 18 or over

Exclusion Criteria:

• under optimal medical treatment
• palliative care, or undergoing hemodialysis will be excluded

Cardiologist

Inclusion criteria:

Cardiologists from an outpatient clinic at a cardiovascular center in Buenos Aires will be selected for potential participation in the study.

Exclusion criteria Cardiologists belonging to the heart failure service

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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240 participants in 2 patient groups

EMR Alert

Experimental group

Treatment:

Other: EMR alert

Usual Care

No Intervention group