Inpatient initiation of beta-blockade plus nurse management in vulnerable heart failure patients: a randomized study.

Background: Predischarge beta-blocker initiation in hospitalized patients with heart failure due to reduced left ventricular ejection fraction (LVEF) is safe and improves adherence; improved outcomes with this approach have not been demonstrated in a randomized trial. This study compared 6-month rehospitalization rates among patients assigned to predischarge beta-blockade coupled with postdischarge nurse management (intervention) versus usual care.

Methods And Results: We randomized 64 patients with an LVEF View Article and Find Full Text PDF