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

Lee 1982.

Methods cross‐over trial, mean treatment duration 53 days for both dig & pla; endpoints—"heart failure score," CT ratio, LVED, EF
Participants 25 pts; mean age 61; 72% male; 88% on diuretics; mean EF 0.29; prior dig Rx in 96%; dx—60% ischemic, 24% cardiomyopathic, 16% hypertrophic cardiomyopathy
Interventions dig dosage titrated to mean serum level of 1.15 ng/mL, mean dig dosage 0.435 mg/d
Outcomes for dig versus pla, "heart failure score" 2.0 & 3.6 (P < 0.05), CT ratio 0.51 & 0.53 (P value 0.00027), LVED 31 & 33 mm/sq m (P value 0.0026), EF 0.30 & 0.29 (P value NS)
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