Optimization of the Treatment of Acute HF by a Non Invasive Cardiac System-a Randomized Control Trial
NCT02126254 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 5
Last updated 2016-07-07
Summary
The aim of this trial is to compare the efficacy of NICaS-directed treatment strategy to the common treatment strategy (based on clinical judgment) on morbidity and mortality in patients with decompensated congestive heart failure, and accordingly to assess whether the NICaS system can optimize and individualize the treatment of decompensated heart failure patients. A prospective randomized controlled trial in which Known HF patients, with reduced EF \<40%, admitted due to decompensated HF, will be randomly assigned, in a 1:1: ratio, to either: 1) Control group that will be treated in the cardiology and internal medicine departments according to the guidelines for the management of Heart Failure. 2) Hemodynamic group patients will be examined in the cardiology and internal medicine departments and treated according to the NICaS system in addition to current guidelines. Patients in this group will be tested within 12 hours from hospitalization and thereafter on an everyday basis until discharge. For all patients randomized, therapy will be tailored to the ultimate goal of discharge on an oral medical regimen to provide better relief of CHF symptoms, to reduce filling pressures and to maintain adequate perfusion. These goals are the same for both groups, but in the control group therapy will be adjusted according to clinical assessment alone, while in the NICaS-directed group, actual measurement of hemodynamics will be used to supplement clinical assessment.
Conditions
- Heart Failure
- Kidney Injury
Interventions
- DEVICE
-
Hemodynamic group
NICAS guided treatment
Sponsors & Collaborators
-
Tel Aviv Medical Center
collaborator OTHER -
Tel-Aviv Sourasky Medical Center
lead OTHER_GOV
Principal Investigators
-
Yaron Arbel, MD · Tel Aviv Medical Center
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-04-30
- Primary Completion
- 2015-03-31
- Completion
- 2015-05-31
Countries
- Israel
Study Locations
More Related Trials
-
Water Immersion in Right-Sided Heart Failure: A Pilot Study
NCT00654264 ·Status: COMPLETED ·Phase: PHASE4
-
Evaluation Of A Virtual Cardiology Program To Improve Outcomes After Acute Decompensated Heart Failure
NCT06592508 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
A Hemodynamically Oriented Echocardiography-Based Strategy in the Treatment of Congestive Heart Failure
NCT00280254 ·Status: TERMINATED ·Phase: PHASE2
-
Evaluation of NT PRO BNP Guided Therapy on Hospitalization Rate and Mortality in Patients With Chronic HF NYHA II-IY
NCT00469001 ·Status: COMPLETED
-
Treatment of Severe Heart Failure by Ultrafiltration
NCT00360958 ·Status: COMPLETED ·Phase: PHASE4
-
INitiation and Titration of Guideline Directed Medical TheRApy in HearT Failure Cardiogenic Shock With ImpElla 5.5 for Cardiac Recovery
NCT06965504 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Unloading in Heart Failure Cardiogenic Shock
NCT05064202 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Change in Stroke Volume Index After Diuresis for Patients With Decompensated Heart Failure
NCT05240651 ·Status: SUSPENDED
-
Use of Telemonitoring to Facilitate Heart Failure Medication Titration
NCT04205513 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Comparison of Outcomes and Access to Care for Heart Failure Trial
NCT02674438 ·Status: COMPLETED ·Phase: PHASE3
-
AI-Based Monitoring System for Chronic Heart Failure With Advanced Wearable and Mini-Invasive Devices
NCT06909682 ·Status: RECRUITING
-
Strategy TO Prevent Decompensated Heart Failure
NCT06641921 ·Status: COMPLETED ·Phase: NA
-
Bariatric Surgery Evaluation and Assessment of Treatment Efficacy - Intervention Trial
NCT06065124 ·Status: RECRUITING ·Phase: NA
-
Investigating aCute heArt failuRe Decongestion Guided by Lung UltraSonography
NCT06465498 ·Status: RECRUITING ·Phase: NA
-
Web-based Training and Telephone Follow-up of Patients With Heart Failure: Randomized Controlled Trial
NCT04210167 ·Status: COMPLETED ·Phase: NA
-
Low Dose Radiotherapy for Heart Failure
NCT07037524 ·Status: NOT_YET_RECRUITING ·Phase: PHASE1/PHASE2
-
Heart Failure Patient Management and Interventions Using Continuous Patient Monitoring Outside Hospitals and Real-world Data
NCT07008729 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Effectiveness and Safety of Uptitration of Guideline Directed MEdical Therapy in Heart Failure With Reduced Ejection Fraction With Limited Kidney Function Assessments
NCT07275437 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Frailty Score Assessment for Elderly Patients Undergoing Cardiac Resynchronization Therapy
NCT02369419 ·Status: COMPLETED
-
Diastology-Guided Management of Decompensated Heart Failure
NCT06131008 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Accelerated Pacing and Cardiac Filling Pressures During Exercise in Patients With Heart Failure With Preserved Ejection Fraction
NCT07270536 ·Status: RECRUITING ·Phase: NA
-
Improving Risk Stratification of Emergency Department Patients With Acute Heart Failure
NCT06065761 ·Status: NOT_YET_RECRUITING
-
Effect of Pre-Hospital ARNI Therapy on Short-Term Outcomes in HFrEF
NCT07347925 ·Status: RECRUITING
-
A Novel Fully Integrated Mobile Management Solution Using Cell Phone Technology for Heart Failure
NCT02935439 ·Status: COMPLETED ·Phase: NA
-
Guiding Evidence Based Therapy Using Biomarker Intensified Treatment
NCT01685840 ·Status: TERMINATED ·Phase: NA