From: Natriuretic peptide-directed medical therapy: a systematic review
Clinical Trial | Level of care in interventional group | Frequency of visits | NP target |
---|---|---|---|
Murdoch | Specialist HF clinic | Every 2 weeks | Single target BNP< 50 pg/ml |
Troughton | Specialist HF clinic | Every 3 months | Single target N-BNP < 200 pmol/L |
Beck-da- Silva | Nurse-led HF clinic | Every 3 months | Individualized according to symptoms in relation to BNP levels. |
Jourdain | Specialist care at the clinic | 1 month (for 3 months) then 3 months | Single target BNP < 100 pg/ml |
Ozkara | Physician clinic visits | Treatment not adjusted throughout study | No BNP target set |
Lainchbury * | Research clinic (with possible specialist input) | Every 3 months | Single target NT-proBNP < 150 pmol/L |
Maeder; Pfisterer | Outpatients visits | 1, 3, 6, 12, 18 months | NT-proBNP < 400 pg/ml in < 75 years and < 800 pg/ml in ≥ 75 years |
Eurlings | Specialist care at the clinic | 2 weeks, 1 month, then 3 months | Individualized NT-proBNP < 10% of randomization level |
Berger * | HF specialist clinic | Every 2 weeks till NT-proBNP target met. Then as required. | Single target NT-proBNP < 2200 pg/ml |
Persson | Primary care centres | 10 days, 1, 3, 6, 9 months | Individualized NT-proBNP < 50% from baseline level |
Anguita | Cardiology clinic | 1, 2, 3, 6, 24, 18 months | Single target BNP < 100 pg/ml |
Shah | HF clinic with specialist input | 1 week, 1, 2, 3, 4 months after discharge | Individualized BNP < 2 times discharge level |
Januzzi | HF clinic | Every 3 months | Single target NT-proBNP ≤ 1000 pg/ml |
Karlstrom | Outpatient visits | 2, 6, 10, 16, 2, 36, 48 weeks, then every 6 months | < 75 years (BNP < 15 ng/L) and ≥75yrs (BNP < 300 ng/L) |
Schou | Specialist heart failure clinic | Every 1–3 months | Individualised NT-proBNP < 30% of randomization level |
Carubelli | Single center, initially in hospital management and then outpatient visits | Frequent visits if NT-proBNP still raised after discharge. Then telephonic follow up at 1, 3, and 6 months | Single target NT-proBNP≤ 3000 pg/ml |
Felker | Outpatient visits | 2 and 6 weeks, then every 3 months | Single target NT-proBNP < 1000 pg/mL. |
Stienen | Intervention carried out in the hospital | 1 week and at 1, 3, and 6 months | Individualized to reduce NT-proBNP by at least 30% by discharge |