Congestive Heart Failure: Causes of Sudden Worsening
Study Details
Study Description
Brief Summary
The purpose of the study is to recognize main causes of acute decompensation of chronic congestive heart failure.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Detailed Description
Congestive heart failure (CHF) presents a very significant cause of morbidity and mortality. The prevalence of CHF is between 2 and 4% and rises with age (in 70- to 80-year-old people is between 10 and 20%). CHF is the cause of 5% of all acute hospital admissions and accounts for 2% of expenses on health. The most common causes of worsening of the chronic CHF are ischemia, arrhythmias, valvular dysfunction, systemic or pulmonary hypertension, volume overload or fluid retention, high output conditions (infection, anemia, thyrotoxicosis), drugs (NSAIDs, cyclo-oxygenase (COX) inhibitors, thiazolidinediones) and medication nonadherence. The goal of this study is to determine the proportion of various reasons of acute worsening of CHF, using commonly available methods including assessment of serum drug levels.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Congestive heart failure Patients suffering from sudden worsening of congestive heart failure |
Outcome Measures
Primary Outcome Measures
Eligibility Criteria
Criteria
Inclusion Criteria:
-
able to provide informed consent
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aged 19 years or more
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history of heart failure of at least one month
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examined or hospitalized for acute dyspnea at rest or with minimal exertion
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clinical signs of fluid overload defined as at least one of following:
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rales
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jugular venous distension
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peripheral edema
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pulmonary congestion on X-ray
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NT-proBNP above 210 pmo/l
Exclusion Criteria:
- none
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University Hospital Hradec Kralove | Hradec Kralove | Czech Republic | 50005 |
Sponsors and Collaborators
- University Hospital Hradec Kralove
Investigators
- Principal Investigator: Radek Pelouch, MD, University Hospital Hradec Kralove
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- MSM0021620817-HKJC