Newly diagnosed heart failure with reduced ejection fraction: timing, sequencing, and titration of guideline-recommended medical therapy

The TITRATE-HF study demonstrates that rapid initiation of GRMT for HFrEF is feasible in real-world clinical practice. Nonetheless, our results highlight the urgency for a proactive approach and ongoing dose titration of pharmacological therapy beyond the initial first months to fully optimize treatment.

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Institutions

Publication Details

Journal
European Heart Journal
Published
2025-03-29
DOI
https://doi.org/10.1093/eurheartj/ehaf244
Citations
17
Primary Topic
Heart Failure Treatment and Management
Type
article
Field-Weighted Citation Impact
23.60

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article

Newly diagnosed heart failure with reduced ejection fraction: timing, sequencing, and titration of guideline-recommended medical therapy

Eric Wierda, Jasper J. Brugts, Sandra Sanders-van Wijk, Antonius van Stipdonk et al.
17 citations
European Heart Journal
Heart Failure Treatment and Management
23.60
article

Newly diagnosed heart failure with reduced ejection fraction: timing, sequencing, and titration of guideline-recommended medical therapy

Eric Wierda, Jasper J. Brugts, Sandra Sanders-van Wijk, Antonius van Stipdonk, Rudolf A. de Boer, Charlotte E. P. Siegers, Hans‐Peter Brunner‐La Rocca, Alexander J. Wardeh, Stefan Koudstaal, Mireille E. Emans, Jishnu Malgie, Jeroen Schaap, Mieke van den Heuvel, Grytsje A. de Boer, Mariëlle I Wilde
article en
17 citations

Abstract

The TITRATE-HF study demonstrates that rapid initiation of GRMT for HFrEF is feasible in real-world clinical practice. Nonetheless, our results highlight the urgency for a proactive approach and ongoing dose titration of pharmacological therapy beyond the initial first months to fully optimize treatment.

European Heart JournalVol. 46(25)
Maastricht University Medical Centre (NL), Medisch Spectrum Twente (NL), Erasmus MC (NL), Maastricht University (NL), Noordwest Ziekenhuisgroep (NL), Medisch Centrum Haaglanden (NL), Ikazia Ziekenhuis (NL), Amphia Ziekenhuis (NL), Zuyderland Medisch Centrum (NL), Groene Hart Ziekenhuis (NL), Meander Medisch Centrum (NL)
Abbott Laboratories, AstraZeneca, Dutch Cardiovascular Alliance, Boehringer Ingelheim España, ZonMw, Vifor Pharma, AstraZeneca Pharma Poland, Bayer Portugal, ICIN Netherlands Heart Institute, Netherlands Heart Institute
Good health and well-being
Openalex Percentile: Top 0%
Heart Failure Treatment and Management
23.60
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