Bardy 2005–SCD‐HeFT.
Study characteristics | ||
Methods | Multicentre randomised controlled trial Setting: Patients with stable heart failure due to ischemic or nonischemic causes and a left ventricular ejection fraction of no more than 35 percent Country: United States & Canada |
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Participants | N = 1692 (845 amiodarone, 847 placebo) Sex: 76‐77% male Age: median 60 years Inclusion: heart failure with LVEF < 35% (primary prevention) |
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Interventions | Group 1: ICD (not analysed) Group 2: amiodarone (up to 800 mg/day initially, 300 mg/d on average at the end of the study) Group 3: placebo Duration: 2 to 5 years |
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Outcomes | All‐cause mortality, cardiac mortality, SCD, quality of life | |
Notes | The outcome 'quality of life was published in a separate report by Marks et al. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | The trial was randomised, but the mechanism wasn't described in detail. |
Allocation concealment (selection bias) | Unclear risk | The trial was randomised, but the mechanism wasn't described in detail. |
Blinding of participants and personnel (performance bias) All outcomes | Low risk | Quote: "Placebo and amiodarone were administered in a double‐blind fashion with the use of identical appearing 200‐mg tablets. . ." |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Quote: "Placebo and amiodarone were administered in a double‐blind fashion with the use of identical appearing 200‐mg tablets. . ." |
Incomplete outcome data (attrition bias) Objective outcomes (death) | Low risk | Quote: "Pairwise comparisons of amiodarone with placebo and ICD with placebo were performed according to the intention‐to‐treat principle." |
Incomplete outcome data (attrition bias) Subjective outcomes (quality of life) | Low risk | Quote: "Of 2521 patients who underwent randomisation, 2479 (98%) completed quality‐of‐life questionnaires at baseline. . . Overall, from a total of 9171 expected contacts with patients, 8747 quality‐of‐life questionnaires (95%) were collected. Only 1.2% of patients declined to complete the questionnaires, and only 1.4% of forms were judged to be incomplete." |
Selective reporting (reporting bias) | Low risk | The study protocol was not available, but it is clear that the published report includes all expected outcomes. |
Other bias | Low risk | The study appears to be free of other sources of bias. |