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August 2012 Br J Cardiol 2012;19:116

Optimised beta blocker therapy in heart failure A gap between training and provision: a primary-care based ECG survey

Danny Lim, Dev Katarey; Drs Raj Mohindra, Stuart Russell, and Andreas Wolff

Abstract

Optimised beta blocker therapy in heart failure: is there space for additional heart rate control? Dear Sirs, We undertook a similar audit to Russell et al.1 within the heart failure service of a district general hospital auditing the case notes of 96 patients attending over three months. Applying the SHIFT inclusion and exclusion criteria, we identified only seven patients (6.7%) eligible for ivabradine. Using the SHIFT dataset the number needed to treat to prevent a single hospitalisation due to heart failure was 22.2 Extrapolating our data, over 12 months, we would expect to identify approximately 28 suitable patients. Treating 28 patients

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