James E. Calvin|Sujata M Shanbhag|Elizabeth Avery|John M. Kane|DeJuran Richardson|Lynda H. Powell
Adherence to Evidence?Based Guidelines for Heart Failure in Physicians and Their Patients: Lessons From the Heart Failure Adherence Retention Trial (HART)
General Department of Preventive Medicine|General Department of Preventive Medicine|Rush University Medical Center|Lake Forest College|General Department of Preventive Medicine
heart failure adherence retention trial hart provided opportunity determine adherence evidencebased guidelines ebg patients heart failure hf ten hospitals source 692 patients hf ef 40 physicians patients hf classified adherent ebg patient chart audit showed betablocker aceinhibitor acei angiotensin receptor blocker arb patients classified adherent ebg mems pill caps used appropriately 80 time sixtythree percent physicians prescribed evidencebased medications adherent clinical practice guidelines new york heart association nyha iii patients less likely adherent p 0001 renal disease p 0001 asthmatics p 0001 nonadherent physicians less likely treat patients betablockers 39 vs 98 p 0001 acei arbs 71 vs 98 p 0001 thirtyseven percent patients prescribed evidencebased therapy failed use mems pill cap bottles appropriately likely minority higher nyha class adherence evidencebased therapy less optimal hf patients based combination physician patient nonadherence