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Remote intensive management by allied healthcare providers safe in low-risk MI patients

Journal
JAMA Cardiology
Reuters Health - 05/01/2021 - Remote intensive management (RIM) led by allied healthcare practitioners is safe and feasible for patients with acute myocardial infarction (AMI) who undergo revascularization, a new randomized controlled trial shows. Patients who were randomized to RIM by a centralized team of nurse practitioners achieved similar dose intensities of beta-blockers and angiotensin-converting-enzyme inhibitor/angiotensin-receptor blockers (ACE-I/ARB) compared with those who received in-person standard care (SC) from their cardiologists. And left ventricular remodeling was also similar for the two groups, Dr. Mark Y. Chan of the University of Singapore and colleagues found. "Further studies of RIM in higher-risk cohorts are warranted," they conclude in JAMA Cardiology. Beta-blockers and ACE-I/ARBs are recommended after AMI, but starting these medications and adjusting the dose can be difficult in the hospital, the authors note. To investigate...


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