Publications by authors named "R S McKelvie"

Background: Guideline-directed medical therapy (GDMT) reduces events in patients with heart failure (HF) with reduced ejection fraction (HFrEF). Despite this impact, underutilization of GDMT persists. This report sought to describe HF management in Canadian outpatients treated at specialized HF clinics (HFCs).

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Background: The management of heart failure (HF) is challenging because of the complexities in recommended therapies. Integrated disease management (IDM) is an effective model, promoting guideline-directed care, but the impact of IDM in the community setting requires further evaluation.

Methods: A retrospective evaluation of community-based IDM.

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Background: Reliable change indices can determine pre-post intervention changes at an individual level that are greater than chance or practice effect. We applied previously developed minimal meaningful change (MMC) scores for oxygen uptake (V̇O) values associated with estimated lactate threshold (θ), respiratory compensation point (RCP), and peak oxygen uptake (V̇O) to evaluate the effectiveness of exercise training in cardiovascular disease patients.

Methods: 303 patients (65 ± 11 yrs.

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