DYNACORD-AD: Evaluation of Cardiac Function in Acutely Decompensated Cirrhosis
Study Details
Study Description
Brief Summary
This is a prospective study of cardiocirculatory
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Detailed Description
In this project we aim to investigate the dynamic role of cardiac function in the short-term evolution of patients with AD of cirrhosis through noninvasive and accessible tests and validate prognostic imaging and serum biomarkers. The main objectives are:
-
To describe changes and evolution of cardiac function in AD of cirrhosis
-
To investigate associations between echocardiographic parameters and serum biomarkers
-
To investigate the association between ACLF and cardiac dysfunction
-
To assess the short-term prognostic impact of cardiac function in AD and ACLF;
-
To evaluate the added predictive value of cardiac markers to current scores (CLIF-C).
Study Design
Outcome Measures
Primary Outcome Measures
- cardiac dysfunction [90 days]
rate of onset and evolution of systolic/ diastolic dysfunction in acute decompensation
- composite outcome [90 days]
risk of developing ACLF, disease worsening, or death during follow-up
Secondary Outcome Measures
- biomarkers [30 days]
detecting biomarkers predictive for cardiac dysfunction and disease severity
Eligibility Criteria
Criteria
Inclusion Criteria:
- proven cirrhosis with acute decompensation
Exclusion Criteria:
-
screening after > 72 hours from admission
-
previous severe cardiac conditions (e.g. ischemic heart disease, atrial fibrillation, congestive heart failure, ICD)
-
concomitant severe disease (e.g. active neoplasia, severe COPD, etc)
-
lack of informed consent
-
intubated/ comatose patient
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Spitalul clinic Colentina | Bucharest | Romania | 020125 |
Sponsors and Collaborators
- Clinical Hospital Colentina
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- DYNACORD-AD