April 2023 PMID 36882134

Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve Heart Failure Care.

Amrita Mukhopadhyay, Harmony R Reynolds, Lawrence M Phillips, Arielle R Nagler, William C King, Adam Szerencsy, Archana Saxena, Rod Aminian, Nathan Klapheke, Leora I Horwitz, Stuart D Katz, Saul Blecker

Mentions

158
Peak: 44 in Mar 2023
across 5 sources since Mar 2023

Extended reach

1,268,418
potential audience

Total likes

174

Video views

3,261

Mentions per month

Mar 2023 – Mar 2024

Where it's discussed

  • News86 articles
  • X / Twitter64 posts
  • Facebook3 posts
  • Blogs3 articles
  • YouTube2 videos

AI synopsis

What people are saying

Many discussions reflect a high level of engagement with the article's findings, such as references to the significant increase in MRA prescriptions—29.6% with alerts compared to much lower rates in other groups. Phrases like 'very impressive data' and mentions of how clinicians were able to prescribe 2.5 times more MRAs due to alerts underscore excitement about these findings, showcasing a tone that conveys urgency and optimism for future improvements in heart failure management.

AgreementStrong agreement

The majority of contributions support the findings of the publication, emphasizing the effectiveness of electronic alerts in improving MRA prescriptions.

InterestHigh interest

The discussions express strong interest in the implications of the research and its relevance to heart failure care.

EngagementModerate engagement

While many posts highlight key findings, deeper discussions on implementation and further research are less frequent.

ImpactHigh impact

Participants perceive the results as highly impactful, indicating a clear potential for EHR tools to change clinical practices in heart failure treatment.

Abstract in brief

  • Mineralocorticoid receptor antagonists (MRAs) are often underprescribed for patients with heart failure with reduced ejection fraction (HFrEF), prompting this study to evaluate new electronic tools for improving prescriptions.
  • The BETTER CARE-HF trial compared the effectiveness of two automated, electronic health record (EHR) tools—one alerting physicians during patient encounters and another sending messages between encounters—against usual care in prescribing MRAs.
  • Results showed that the alert led to significantly higher MRA prescriptions (29.6%) compared to the message (15.6%) and usual care (11.7%), underscoring the value of EHR tools in enhancing the prescription of crucial heart failure treatments.

Top posts

Most liked on X and Bluesky
Henry Han
@HanCardiomd · X

Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing occurred in 29.6% of patients in the alert arm, 15.6% in the message arm, and 11.7% in the control arm. An automated, patient-specific, EHR-embedded alert https://t.co/OxmlvDZsAF

Mar 5, 2023 · 63 likes · 20 shares · 16,145 followers View post →
JACC Journals
@JACCJournals · X

An electronic alert more than doubled prescribing of a life-saving therapy among patients with heart failure. Read more about BETTER CARE-HF in #JACC: https://t.co/7kqb7OAcUs #HFrEF #HeartFailure #HealthIT #PopulationHealth #CardioTwitter https://t.co/n9A0a5CoVp

Apr 5, 2023 · 34 likes · 12 shares · 114,809 followers View post →
JACC Journals
@JACCJournals · X

#ACC23/#WCCardio #JACC LBCT SimPub: An electronic alert more than doubled the prescription of a life-saving therapy among patients with heart failure. https://t.co/qmuu3Pr0RE #HFrEF #HeartFailure #HealthIT @AmritaMukhopaMD @SaulBlecker @LPhillipsMD @leorahorwitzmd @nyulangone https://t.co/1PiTXdHwF8

Mar 5, 2023 · 32 likes · 12 shares · 114,809 followers View post →
José R. Juanatey
@JoseJuanatey · X

Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve Heart Failure Care - ScienceDirect decisions supported tools integrated in electronic medical record improve therapy in heart failure! ⁦@secardiologia⁩ ⁦ https://t.co/hrl6L7dT42

Apr 9, 2023 · 13 likes · 7 shares · 13,771 followers View post →
JACC Journals
@JACCJournals · X

Drs. @CMichaelGibson, @SuzanneJBaron, and @DLBHATTMD review the Day 2⃣ late-breaking science from #ACC23/#WCCardio, including BIOVASC, UK MINI MITRAL, and BETTER CARE #HF

Mar 5, 2023 · 10 likes · 4 shares · 114,809 followers View post →
Andrew J Sauer MD
@AndrewJSauer · X

Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve Heart Failure Care | Journal of the American College of Cardiology https://t.co/IV8N9zARwY

Mar 5, 2023 · 7 likes · 1 share · 19,379 followers View post →

All mentions

Leora Horwitz
@leorahorwitzmd · X

Here, then cardiology fellow now @nyugrossman faculty @AmritaMukhopaMD leads the team in using the technique to see how we can best get docs to prescribe life saving heart failure treatments https://t.co/ny7Y5hotY1

Aug 21, 2023 · 1 like · 1 share · 13,854 followers View post →
Kansas ACC
@KansasACC · X

An electronic alert more than doubled prescribing of a life-saving therapy among patients with heart failure. Read more about BETTER CARE-HF in #JACC: https://t.co/vqzixjrmck #HFrEF #HeartFailure #HealthIT #PopulationHealth #CardioTwitter https://t.co/pmuFkTMgq0

May 17, 2023 · 718 followers View post →
OklahomaACC
@acc_oklahoma · X

An electronic alert more than doubled prescribing of a life-saving therapy among patients with heart failure. Read more about BETTER CARE-HF in #JACC: https://t.co/AhAwDKQAjp #HFrEF #HeartFailure #HealthIT #PopulationHealth #CardioTwitter https://t.co/vFgEFLabpa

May 17, 2023 · 137 followers View post →
Missouri ACC
@MissouriACC · X

An electronic alert more than doubled prescribing of a life-saving therapy among patients with heart failure. Read more about BETTER CARE-HF in #JACC: https://t.co/gHJoyLOQ7f #HFrEF #HeartFailure #HealthIT #PopulationHealth #CardioTwitter https://t.co/N3ugX1Lsac

May 17, 2023 · 714 followers View post →
Shunsuke Oyamada
@oyashun1229 · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Apr 27, 2023 · 20 shares · 778 followers View post →
Shunsuke Oyamada
@oyashun1229 · X

RT @JoseJuanatey: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve Heart Failure Care - ScienceDirect decisi…

Apr 27, 2023 · 7 shares · 778 followers View post →
Carlos Peña Gil
@carlospenagil · X

RT @JoseJuanatey: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve Heart Failure Care - ScienceDirect decisi…

Apr 10, 2023 · 7 shares · 1,804 followers View post →
Sergio Cinza
@SergioCinza · X

RT @JoseJuanatey: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve Heart Failure Care - ScienceDirect decisi…

Apr 10, 2023 · 7 shares · 1,712 followers View post →
Jose Manuel Lema
@josemanuellema · X

RT @JoseJuanatey: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve Heart Failure Care - ScienceDirect decisi…

Apr 9, 2023 · 7 shares · 840 followers View post →
Joan Monell
@joan_monell · X

RT @JoseJuanatey: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve Heart Failure Care - ScienceDirect decisi…

Apr 9, 2023 · 7 shares · 99 followers View post →
Juan Carlos Obaya
@jcobaya69 · X

RT @JoseJuanatey: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve Heart Failure Care - ScienceDirect decisi…

Apr 9, 2023 · 7 shares · 858 followers View post →
José R. Juanatey
@JoseJuanatey · X

Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve Heart Failure Care - ScienceDirect decisions supported tools integrated in electronic medical record improve therapy in heart failure! ⁦@secardiologia⁩ ⁦ https://t.co/hrl6L7dT42

Apr 9, 2023 · 13 likes · 7 shares · 13,771 followers View post →
Mountaineer
@mount4ineer · X

RT @JACCJournals: An electronic alert more than doubled prescribing of a life-saving therapy among patients with heart failure. Read more…

Apr 5, 2023 · 12 shares · 54 followers View post →
Juan Carlos Obaya
@jcobaya69 · X

RT @JACCJournals: An electronic alert more than doubled prescribing of a life-saving therapy among patients with heart failure. Read more…

Apr 5, 2023 · 12 shares · 858 followers View post →
Fábio Fonseca
@FbioFon84085623 · X

RT @JACCJournals: An electronic alert more than doubled prescribing of a life-saving therapy among patients with heart failure. Read more…

Apr 5, 2023 · 12 shares · 585 followers View post →
Hany Ragy
@Hragy · X

RT @JACCJournals: An electronic alert more than doubled prescribing of a life-saving therapy among patients with heart failure. Read more…

Apr 5, 2023 · 12 shares · 80,481 followers View post →
Sunil V. Rao
@SVRaoMD · X

RT @JACCJournals: An electronic alert more than doubled prescribing of a life-saving therapy among patients with heart failure. Read more…

Apr 5, 2023 · 12 shares · 31,163 followers View post →
Giuseppe Biondi-Zoccai
@gbiondizoccai · X

RT @JACCJournals: An electronic alert more than doubled prescribing of a life-saving therapy among patients with heart failure. Read more…

Apr 5, 2023 · 12 shares · 12,165 followers View post →
Celestin Hategeka, MD PhD
@drhategeka · X

RT @JACCJournals: An electronic alert more than doubled prescribing of a life-saving therapy among patients with heart failure. Read more…

Apr 5, 2023 · 12 shares · 515 followers View post →
د . احمد سمان
@Ahmed43101178 · X

RT @JACCJournals: An electronic alert more than doubled prescribing of a life-saving therapy among patients with heart failure. Read more…

Apr 5, 2023 · 12 shares · 6,367 followers View post →
JACC Journals
@JACCJournals · X

An electronic alert more than doubled prescribing of a life-saving therapy among patients with heart failure. Read more about BETTER CARE-HF in #JACC: https://t.co/7kqb7OAcUs #HFrEF #HeartFailure #HealthIT #PopulationHealth #CardioTwitter https://t.co/n9A0a5CoVp

Apr 5, 2023 · 34 likes · 12 shares · 114,809 followers View post →
Tom
@youareinformed · X

Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve Heart Failure Care https://t.co/PPV5Rww04y

Mar 18, 2023 · 3,275 followers View post →
UKCPA Cardiovascular Committee
@UKCPACardiac · X

RT @DrRaniKhatib: BETTER CARE-HF (Building Electronic Tools To Enhance & Reinforce CArdiovascular REcommendations for HF) Clinicians receiv…

Mar 7, 2023 · 3 shares · 759 followers View post →
The Leeds CaReMe Innovative Clinic
@CaReMeLeeds · X

RT @DrRaniKhatib: BETTER CARE-HF (Building Electronic Tools To Enhance & Reinforce CArdiovascular REcommendations for HF) Clinicians receiv…

Mar 6, 2023 · 3 shares · 184 followers View post →
Amrita Mukhopadhyay
@AmritaMukhopaMD · X

RT @SaulBlecker: https://t.co/Y0qOrB3znr

Mar 6, 2023 · 1 share · 97 followers View post →
susanconnolly
@susanbconnolly · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 6, 2023 · 20 shares · 1,691 followers View post →
C.K.
@firesigh · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 6, 2023 · 20 shares · 16 followers View post →
Sherif
@Sherifdotcom · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 6, 2023 · 20 shares · 136 followers View post →
Mayo Hospital Lahore
@MayoKEMU · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 5, 2023 · 20 shares · 823 followers View post →
Dr.Majed M Malak
@DrMajedMalak · X

Insightful! only 1 in 3 patients with HFrEF will get the MRA (After the alert!). What else do we need to do to reach GDMT? https://t.co/32TsJk43qW #ACC23

Mar 5, 2023 · 374 followers View post →
C. Michael Gibson MD
@CMichaelGibson · X

RT @JACCJournals: Drs. @CMichaelGibson, @SuzanneJBaron, and @DLBHATTMD review the Day 2⃣ late-breaking science from #ACC23/#WCCardio, inclu…

Mar 5, 2023 · 4 shares · 432,007 followers View post →
Enoch Akowuah
@EnochAkowuah1 · X

RT @JACCJournals: Drs. @CMichaelGibson, @SuzanneJBaron, and @DLBHATTMD review the Day 2⃣ late-breaking science from #ACC23/#WCCardio, inclu…

Mar 5, 2023 · 4 shares · 682 followers View post →
EOLO MORANDI JR.
@eolojr · X

RT @JACCJournals: #ACC23/#WCCardio #JACC LBCT SimPub: An electronic alert more than doubled the prescription of a life-saving therapy among…

Mar 5, 2023 · 12 shares · 540 followers View post →
JACC Journals
@JACCJournals · X

Drs. @CMichaelGibson, @SuzanneJBaron, and @DLBHATTMD review the Day 2⃣ late-breaking science from #ACC23/#WCCardio, including BIOVASC, UK MINI MITRAL, and BETTER CARE #HF

Mar 5, 2023 · 10 likes · 4 shares · 114,809 followers View post →
Giuseppe Biondi-Zoccai
@gbiondizoccai · X

'An automated, patient-specific, EHR-embedded alert increased MRA prescribing compared to both a message and usual care. Our findings highlight the potential for EHR-embedded tools to substantially increase prescription of life-saving therapies for HFrEF' https://t.co/5KNy7wEFX6

Mar 5, 2023 · 12,165 followers View post →
Dr Anastasia Mihailidou FAHA FCSANZ FESC
@AnastasiaSMihai · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 5, 2023 · 20 shares · 19,311 followers View post →
Dr Shrilla Banerjee MD FRCP
@ShrillaB · X

RT @JACCJournals: #ACC23/#WCCardio #JACC LBCT SimPub: An electronic alert more than doubled the prescription of a life-saving therapy among…

Mar 5, 2023 · 12 shares · 8,919 followers View post →
Alexander Hajduczok, MD
@AHajduczok · X

RT @AndrewJSauer: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve Heart Failure Care | Journal of the Ameri…

Mar 5, 2023 · 1 share · 9,553 followers View post →
Takuya Kishi @ねこ好き循環器内科医
@tkishi_cardiol · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 5, 2023 · 20 shares · 14,769 followers View post →
Aaron Bagnola
@AirInBags · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 5, 2023 · 20 shares · 511 followers View post →
Natsir Ramadhan
@natsiradhan · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 5, 2023 · 20 shares · 564 followers View post →
Saul Blecker
@SaulBlecker · X

RT @JACCJournals: #ACC23/#WCCardio #JACC LBCT SimPub: An electronic alert more than doubled the prescription of a life-saving therapy among…

Mar 5, 2023 · 12 shares · 278 followers View post →
Saul Blecker
@SaulBlecker · X

https://t.co/Y0qOrB3znr https://t.co/KaOOQwdAWi

Mar 5, 2023 · 4 likes · 1 share · 278 followers View post →
Kimitaka Nishizaki
@nishiki8885 · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 5, 2023 · 20 shares · 2,959 followers View post →
Anju Bhardwaj MD FACC
@docbhardwaj · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 5, 2023 · 20 shares · 4,543 followers View post →
HF Collaboratory
@hfcollaboratory · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 5, 2023 · 20 shares · 2,083 followers View post →
Khalid Minhas, MD FACC
@minhaskh · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 5, 2023 · 20 shares · 11,356 followers View post →
د . احمد سمان
@Ahmed43101178 · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 5, 2023 · 20 shares · 6,367 followers View post →
د . احمد سمان
@Ahmed43101178 · X

RT @JACCJournals: #ACC23/#WCCardio #JACC LBCT SimPub: An electronic alert more than doubled the prescription of a life-saving therapy among…

Mar 5, 2023 · 12 shares · 6,367 followers View post →
JACC Journals
@JACCJournals · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 5, 2023 · 20 shares · 114,809 followers View post →
Dr Rani Khatib FESC
@DrRaniKhatib · X

BETTER CARE-HF (Building Electronic Tools To Enhance & Reinforce CArdiovascular REcommendations for HF) Clinicians receiving customized electronic health record (EHR) alerts for specific patients were 2.5x to prescribe MRAs vs. no alerts #ACC23 @ACCinTouch https://t.co/lbX0o6gW2B

Mar 5, 2023 · 7 likes · 3 shares · 5,423 followers View post →
Andrew J Sauer MD
@AndrewJSauer · X

Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve Heart Failure Care | Journal of the American College of Cardiology https://t.co/IV8N9zARwY

Mar 5, 2023 · 7 likes · 1 share · 19,379 followers View post →
Baglikov Andrey
@baglikov · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 5, 2023 · 20 shares · 607 followers View post →
Andrew J Sauer MD
@AndrewJSauer · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 5, 2023 · 20 shares · 19,379 followers View post →
Shashank Sinha, MD, MSc, FACC, FAHA, FHFSA
@ShashankSinhaMD · X

RT @HanCardiomd: Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing o…

Mar 5, 2023 · 20 shares · 4,775 followers View post →
Henry Han
@HanCardiomd · X

https://t.co/md8SphcW34 #JACC @JACCJournals

Mar 5, 2023 · 1 like · 16,145 followers View post →
Henry Han
@HanCardiomd · X

Cluster-Randomized Trial Comparing Ambulatory Decision Support Tools to Improve #HeartFailure Care New #MRA prescribing occurred in 29.6% of patients in the alert arm, 15.6% in the message arm, and 11.7% in the control arm. An automated, patient-specific, EHR-embedded alert https://t.co/OxmlvDZsAF

Mar 5, 2023 · 63 likes · 20 shares · 16,145 followers View post →
CNCFCardio
@CNCFCardio · X

RT @JACCJournals: #ACC23/#WCCardio #JACC LBCT SimPub: An electronic alert more than doubled the prescription of a life-saving therapy among…

Mar 5, 2023 · 12 shares · 5,281 followers View post →
Hide Yaku, MD, PhD, FHFSA
@JP_HFpEF · X

From @jaccjournals https://t.co/M6RwqNaXxO

Mar 5, 2023 · 1 like · 2,067 followers View post →
Amrita Mukhopadhyay
@AmritaMukhopaMD · X

RT @JACCJournals: #ACC23/#WCCardio #JACC LBCT SimPub: An electronic alert more than doubled the prescription of a life-saving therapy among…

Mar 5, 2023 · 12 shares · 97 followers View post →
Anais Hausvater
@AHausvater · X

RT @JACCJournals: #ACC23/#WCCardio #JACC LBCT SimPub: An electronic alert more than doubled the prescription of a life-saving therapy among…

Mar 5, 2023 · 12 shares · 234 followers View post →
Lawrence Phillips
@LPhillipsMD · X

RT @JACCJournals: #ACC23/#WCCardio #JACC LBCT SimPub: An electronic alert more than doubled the prescription of a life-saving therapy among…

Mar 5, 2023 · 12 shares · 691 followers View post →
Prof Amitava Banerjee
@amibanerjee1 · X

EHR alerts doubled MRA prescription rate in heart failure (BETTER CARE-HF). Very impressive data presented by @AmritaMukhopaMD @ACCinTouch https://t.co/cYMFcayxeI https://t.co/7WBedWc5RM

Mar 5, 2023 · 5,498 followers View post →
JACC Journals
@JACCJournals · X

#ACC23/#WCCardio #JACC LBCT SimPub: An electronic alert more than doubled the prescription of a life-saving therapy among patients with heart failure. https://t.co/qmuu3Pr0RE #HFrEF #HeartFailure #HealthIT @AmritaMukhopaMD @SaulBlecker @LPhillipsMD @leorahorwitzmd @nyulangone https://t.co/1PiTXdHwF8

Mar 5, 2023 · 32 likes · 12 shares · 114,809 followers View post →