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G. Michael Felker et al. JCHF 2014;2:457-465
Schematic Diagram of the GUIDE-IT Study The aim of the GUIDE-IT study is to randomize approximately 1,100 high-risk patients with chronic HF who have a left ventricular EF ≤40% to either optimized guideline-recommended therapy or a strategy of adjusting therapy with the goal of achieving and maintaining a target NT-proBNP level of <1,000 pg/ml. Patients in either arm of the study are followed up at regular intervals and after treatment adjustments for a minimum of 12 months. Assessments during these visits are delineated in the figure. BNP = B-type natriuretic peptide; BUN = blood urea nitrogen; CV = cardiovascular; EF = ejection fraction; GUIDE-IT = Guiding Evidence Based Therapy Using Biomarker Intensified Treatment in Heart Failure; HF = heart failure; NT-proBNP = N-terminal pro–B-type natriuretic peptide; QOL = quality of life; 6MWT = 6-min walk test. G. Michael Felker et al. JCHF 2014;2: American College of Cardiology Foundation
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