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. 2014 Apr 28;2014(4):CD002901. doi: 10.1002/14651858.CD002901.pub3

DIMT 1993.

Methods Six‐mo multicenter parallel trial with third ibopamine arm; primary endpoint—EX; secondary endpoints—"heart failure score," change in plasma norepinephrine
Participants 108 pts; mean age 61; 86% male; 80% Class II, 20% Class III; 100% on diuretics, none on ACEI or beta‐blockers; dx—69% ischemic, 31% idiopathic; valvular disease excluded
Interventions dig dosage 0.25 mg/d, mean plasma level 0.94 ng/mL
Outcomes for dig versus pla, EX +1.6% & ‐5.8% (P value 0.008); no significant difference in "heart failure score;" plasma norepinephrine values changed
 by ‐106 pg/mL for dig & +62 pg/mL for pla (P < 0.001)
Notes blind allocation—yes
 blinded to outcomes—?
 baselines comparable—yes
 loss to follow‐up—?
 dig titrated to level—no
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A—Adequate