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Table 2 The conduct of the natriuretic-peptide (NP)-directed clinical trials

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

  1. NP natriuretic peptide, NT-proBNP N-terminal pro B-type natriuretic peptide, LVEF left ventricular ejection fraction, ARB angiotensin II receptor blocker, ACEIangiotensin-converting enzyme inhibitor, BNP B-type natriuretic peptide, NYHA New York Heart Association, HF heart failure
  2. *Lainchbury and Berger: three-arm trial but only NT-proBNP guided management group and usual care group compared