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

Guyatt 1988.

Methods Seven‐wk cross‐over trial; endpoints—"heart failure score," six‐minute walk test, CT ratio, QOL, LVED, FS, EX
Participants 20 pts; mean age 63; 90% male; 50% Class II, 40% Class III; 90% on diuretics; prior dig Rx in 85%; dx—85% ischemic; valvular disease excluded
Interventions dig dosage titrated to serum level of 1.54 to 2.56 nmol/L (1.2 to 2.0 ng/mL), mean dig dosage 0.391 mg/d
Outcomes for dig versus pla, "heart failure score" 2.3 & 4.4 (P value 0.001), six‐minute walk test 411 & 392 m (P value 0.055), CT ratio 0.53 & 0.58 (P value 0.04), FS 21% & 17% (P value 0.04); no significant difference in QOL profile, LVED, EX
Notes blind allocation—yes
 blinded to outcomes—yes
 baselines comparable—NA
 loss to follow‐up—?
 dig titrated to level—yes
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk A—Adequate