Assessment of Residual Congestion in Acute Decompensated Heart Failure
Recruiting · NCT07682298 · Observational (researchers observe without assigning treatment) · Lead sponsor: Aarhus University Hospital
View the official record on ClinicalTrials.gov →What this trial is about
DESIGN: A prospective, multicenter, observational cohort study including 580 patients admitted for acute decompensated heart failure (ADHF). Ultrasound assessment of congestion (VExUS and LUS) will be performed serially during admission: within 48 hours of admission, at the time diuretic therapy is switched from intravenous to oral, and on the day of discharge. The discharge assessment will serve as the primary predictor. Treating physicians will be blinded to all ultrasound findings. Patients will be followed for 90 days by telephone follow-up and chart review for the primary endpoint, with extended chart review at one year for selected secondary endpoints. AIMS: To determine whether combined ultrasound assessment of venous (VExUS) and pulmonary congestion (LUS) at discharge predicts heart failure readmission and all-cause mortality in patients hospitalized with ADHF. HYPOTHESIS: Abnormal VExUS and/or LUS findings at discharge are associated with a higher risk of heart failure readmission and all-cause mortality after 90 days.
Who can take part
Inclusion criteria
- Adults (≥18 years) admitted with ADHF.
- Clinical evidence of congestion during admission, indicated by ≥1 of the following: pitting peripheral edema, ascites, elevated jugular venous pressure, or radiologic/ultrasound evidence of pulmonary congestion.
- Treatment with ≥40 mg i.v. furosemide or equivalent dose loop diuretic during admission.
Exclusion criteria
- Pregnancy
- Moribund
- Solitary kidney
- Inability to provide written consent
Where it is running
3 locations listed.
- Aarhus University Hospital - Department of Cardiology - Aarhus, Denmark
- Copenhagen University Hospital, Amager and Hvidovre Hospital - Department of Cardiology - Copenhagen, Denmark
- Zealand University Hospital - Department of Cardiology - Roskilde, Denmark