Jessica, B., Rebekah, K., Stormi, G., Alica, S., Ellen, P.M., Maryann, C.A., Jessica, C., Rowan, S., & R, R.G. (2026). Impact of Embedded Interdisciplinary Heart Failure Teams on Achieving Guideline-Directed Medical Therapy Within Community-Based Cardiology Practices.. Journal of cardiac failure. https://doi.org/10.1016/j.cardfail.2025.01.029
Jessica B, Rebekah K, Stormi G, Alica S, Ellen PM, Maryann CA, et al. Impact of Embedded Interdisciplinary Heart Failure Teams on Achieving Guideline-Directed Medical Therapy Within Community-Based Cardiology Practices.. Journal of cardiac failure. 2026; doi: 10.1016/j.cardfail.2025.01.029
Jessica B, Rebekah K, Stormi G, et al. Impact of Embedded Interdisciplinary Heart Failure Teams on Achieving Guideline-Directed Medical Therapy Within Community-Based Cardiology Practices.[J]. Journal of cardiac failure. 2026. DOI: 10.1016/j.cardfail.2025.01.029.
@article{jessica2026,
author = {Bregier Jessica and Krupski Rebekah and Gale Stormi and Sparling Alica and Pisano Mary Ellen and Choy-Ames Maryann and Cheuvront Jessica and Spence Rowan and Reeves Gordon R},
title = {Impact of Embedded Interdisciplinary Heart Failure Teams on Achieving Guideline-Directed Medical Therapy Within Community-Based Cardiology Practices.},
journal = {Journal of cardiac failure},
year = {2026},
doi = {10.1016/j.cardfail.2025.01.029},
note = {PMID: 40096906},
}
TY - JOUR AU - Bregier Jessica AU - Krupski Rebekah AU - Gale Stormi AU - Sparling Alica AU - Pisano Mary Ellen AU - Choy-Ames Maryann AU - Cheuvront Jessica AU - Spence Rowan AU - Reeves Gordon R TI - Impact of Embedded Interdisciplinary Heart Failure Teams on Achieving Guideline-Directed Medical Therapy Within Community-Based Cardiology Practices. T2 - Journal of cardiac failure PY - 2026 DO - 10.1016/j.cardfail.2025.01.029 AN - PMID:40096906 ER -
BACKGROUND: Guideline-directed medical therapy (GDMT) for patients with heart failure with reduced ejection fraction (HFrEF) is under-prescribed. Real-world data regarding contemporary GDMT prescribing and the impact of scalable interdisciplinary heart failure (HF) teams are needed. METHODS AND RESULTS: We retrospectively identified 2121 patients with HFrEF seen in 2022 in 4 community-based cardiology-practice sites that contained an embedded interdisciplinary HF team. After excluding 203 patients with missing data or encounters, GDMT prescribing was compared among those with (n = 1029) and without (n = 889) the support of the interdisciplinary HF teams. Patients were 33% female, 34% Black/African American, with an average age of 69 years. Patients seen by interdisciplinary HF teams achieved more comprehensive GDMT regimens compared to patients receiving routine care alone, as shown by higher 4-Pillar Intensification Scores (6.5 vs 4.7; P < 0.001). Using multivariable logistic regression models, patients whose care included an interdisciplinary HF team had higher odds (OR; 95% CI) of receiving sodium-glucose cotransporter-2 inhibitors (SGLT2is) (3.08; 2.37-3.99), angiotensin receptor/neprilysin inhibitors [ARNis] (1.84; 1.45-2.35) and mineralocorticoid receptor antagonists (MRAs) (1.41; 1.11-1.8) than patients receiving routine care alone. CONCLUSIONS: Access to embedded interdisciplinary HF teams within community cardiology practices was associated with improved GDMT prescribing, supporting broader adoption of interdisciplinary care models for optimizing GDMT.