Digital heart failure management: Insights from the COPILOT study.

IF 5.3 2区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS Heart Failure Reviews Pub Date : 2026-04-18 DOI:10.1007/s10741-026-10633-3
Jonas M Rolland, Tarjei Øvrebotten, Kevin Damman, Stephen J Greene, Peder L Myhre
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Abstract

Suboptimal implementation of guideline-directed medical therapy (GDMT) remains a major problem in heart failure (HF) care. The Cooperative Program for Implementation of Optimal Therapy in Heart Failure (COPILOT-HF) trial evaluated an innovative remote strategy to optimize GDMT across the spectrum of HF, irrespective of left ventricular ejection fraction (LVEF). This pragmatic randomized study compared a pharmacist-led, navigator-assisted remote program against traditional provider notification and education. The results, recently presented at the American Heart Association 2025 Scientific Sessions, offer compelling insights into overcoming clinical inertia and improving HF management in the digital age. This mini review examines the trial’s key findings and their potential to reshape HF care delivery.

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数字心力衰竭管理:来自COPILOT研究的见解。
指导药物治疗(GDMT)的次优实施仍然是心力衰竭(HF)治疗的主要问题。心力衰竭最佳治疗实施合作计划(COPILOT-HF)试验评估了一种创新的远程策略,以优化整个心力衰竭频谱的GDMT,而不考虑左室射血分数(LVEF)。这项实用的随机研究比较了药剂师主导、导航员辅助的远程计划与传统的提供者通知和教育。最近在美国心脏协会2025年科学会议上发表的研究结果,为克服临床惰性和改善数字时代心衰管理提供了令人信服的见解。这篇小型综述探讨了该试验的主要发现及其重塑心衰护理交付的潜力。
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来源期刊
Heart Failure Reviews
Heart Failure Reviews 医学-心血管系统
CiteScore
10.40
自引率
2.20%
发文量
90
审稿时长
6-12 weeks
期刊介绍: Heart Failure Reviews is an international journal which develops links between basic scientists and clinical investigators, creating a unique, interdisciplinary dialogue focused on heart failure, its pathogenesis and treatment. The journal accordingly publishes papers in both basic and clinical research fields. Topics covered include clinical and surgical approaches to therapy, basic pharmacology, biochemistry, molecular biology, pathology, and electrophysiology. The reviews are comprehensive, expanding the reader''s knowledge base and awareness of current research and new findings in this rapidly growing field of cardiovascular medicine. All reviews are thoroughly peer-reviewed before publication.
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