Diastology-Guided Management of Decompensated Heart Failure
NCT06131008 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 30
Last updated 2023-11-14
Summary
More than 30% of people hospitalized with decompensated heart failure return to the hospital within 90 days. Emerging evidence suggests that hemodynamic monitoring with guided management may enhance prognosis and management. Hemodynamic monitoring with echocardiography using diastology and an evidence-informed therapeutic protocol have the potential to achieve this aim in a minimally invasive manner.
Conditions
- Heart Failure
- Diastolic Dysfunction
Interventions
- DIAGNOSTIC_TEST
-
Diastology
We will follow American Society of Echocardiography criteria to determine the degree of diastolic dysfunction after performing each focused echocardiogram.
- BEHAVIORAL
-
Diastology-Guided Diuresis
If the daily urine output or weight loss are less than study-specified targets, then the research team will recommend changes to the diuretic regimen based on the degree of diastolic dysfunction.
- BEHAVIORAL
-
Usual Care
Clinicians will rely on usual care metrics and parameters to guide diuresis.
Sponsors & Collaborators
- lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2023-11-06
- Primary Completion
- 2024-04-08
- Completion
- 2024-07-31
More Related Trials
-
Effect of Post Discharge Follow-up on Readmission Rates for Congestive Heart Failure Patients
NCT01529463 ·Status: COMPLETED
-
Hemodynamic Assessment in Acute Decompensated Heart Failure
NCT03535909 ·Status: COMPLETED
-
Evaluation Of A Virtual Cardiology Program To Improve Outcomes After Acute Decompensated Heart Failure
NCT06592508 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Strategies for Assessment of Fluid Overload in Acute Decompensated Heart Failure
NCT04901039 ·Status: TERMINATED
-
Compression Therapy of the Lower Limbs in Patients With Decompensated Heart Failure
NCT06418932 ·Status: RECRUITING ·Phase: NA
-
Evaluating Residual Congestion at Discharge in Acute Heart Failure Patients
NCT06993220 ·Status: RECRUITING
-
Mechanisms of Pulmonary Vascular Dysfunction in Heart Failure
NCT06331208 ·Status: RECRUITING
-
Chronotropic Incompetence (CI) Diagnostic Algorithm in Heart Failure Patients
NCT02358603 ·Status: TERMINATED ·Phase: NA
-
Handled Echocardiography and Chronic Heart Failure
NCT01365325 ·Status: COMPLETED ·Phase: NA
-
Fluid Restriction in Patients With Heart Failure
NCT04611594 ·Status: UNKNOWN ·Phase: NA
-
Voice Analysis for Monitoring Patients With Heart Failure
NCT06566911 ·Status: RECRUITING
-
Nt-proBNP Versus Clinical Guided Discharge in Acute Heart Failure
NCT01299350 ·Status: COMPLETED ·Phase: PHASE4
-
Point Of Care With Serial NT-proBNP Measurement in Patients With Acute Decompensation of Heart Failure
NCT04471610 ·Status: COMPLETED ·Phase: NA
-
The Role of intraABDOminal Pressure and Point Of Care UltraSound to Guide Decongestive Therapy in Heart Failure
NCT07008365 ·Status: RECRUITING ·Phase: PHASE3
-
Management of Acute Heart Failure: Contribution of Ultrasound Daily "in Bed Patient" Adjustment on Therapy With Impact Measure on re Hospital Rate During 30 Days
NCT02892227 ·Status: COMPLETED ·Phase: NA
-
Biomarker Guided Discharge of Heart Failure Patients
NCT03103932 ·Status: RECRUITING ·Phase: NA
-
Assessment of Coronary Flow Reserve in Heart Failure Patients After Ultrafiltration Versus Diuretics
NCT01457053 ·Status: TERMINATED ·Phase: NA
-
Flexible vs. Fixed Diuretic Regimen in the Management of Chronic Heart Failure: A Pilot Study
NCT05594823 ·Status: UNKNOWN ·Phase: PHASE4
-
Evaluating Strategies to Improve Guideline Directed Medical Therapy: The GDMT Research, Education & Assist Trial for Heart Failure Care
NCT05990296 ·Status: COMPLETED ·Phase: NA
-
Renal Denervation to Treat Heart Failure With Preserved Ejection Fraction
NCT05030987 ·Status: RECRUITING ·Phase: NA
-
Peripheral Venous Oxygen Saturation and Biomarkers to Estimate Cardiac Output and Filling Pressures in Heart Failure
NCT00595738 ·Status: COMPLETED
-
Model for Heart Failure ExAcerbation Reduction Trial
NCT01726985 ·Status: COMPLETED
-
Fluid Management of Acute Decompensated Heart Failure Subjects Treated With Reprieve Decongestion Management System (DMS)
NCT05174312 ·Status: COMPLETED ·Phase: NA
-
Pocket-sized Ultrasound for Point-of-care Diagnosis of Heart Failure
NCT02939157 ·Status: COMPLETED
-
DR REGISTRY: Prospective Observational Study of ADHF Patients With Insufficient Response to Diuretics
NCT04877652 ·Status: COMPLETED