Status:

COMPLETED

Troponin I Release After High Diuretic Doses

Lead Sponsor:

University of Palermo

Conditions:

ADHF

Eligibility:

All Genders

18-95 years

Phase:

PHASE4

Brief Summary

High values of cardiac troponin (Ct) in acute heart failure (ADHF) identify patients (pts) at higher risk and worsened prognosis. A Ct increase during therapy indicates the need for more appropriate i...

Detailed Description

After randomization, all patients included in the study underwent a complete physical examination, including a careful check of HF signs and symptoms, including BW measurement (in the morning before b...

Eligibility Criteria

Inclusion

  • signs/symptoms of heart failure;
  • New York Heart Association (NYHA) functional Class III or IV on admission due to an exacerbation of symptoms with at least 1 class deterioration;
  • evidence of systolic dysfunction on echocardiographic examination on admission (EF\<45%);
  • BNP levels on admission \> 100pg/mL

Exclusion

  • NYHA class \< III on admission or without a NYHA class improvement on discharge;
  • acute coronary syndrome,
  • pulmonary thromboembolism,
  • cardiac tamponade,
  • pericarditis,
  • renal insufficiency (serum creatinine \<2,5 mg/dL, BUN \<60 mg/dL) or those on dialysis;
  • chronic liver disease,
  • pleuro-pneumonia,
  • blood and autoimmune diseases,
  • concomitant other important co-morbidity,
  • cerebral vascular disease,
  • dementia,
  • cancer,
  • uncompensated diabetes,
  • took non-steroid anti-inflammatory drugs (NSAID)
  • declining to provide informed consent,
  • patients requiring pacemaker implantation and those with issues of excessive alcohol consumption

Key Trial Info

Start Date :

August 1 2011

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

September 1 2011

Estimated Enrollment :

60 Patients enrolled

Trial Details

Trial ID

NCT01419132

Start Date

August 1 2011

End Date

September 1 2011

Last Update

November 1 2011

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Department of Internal and Specialty Medicine

Palermo, Palermo, Italy, 90127

2

Gaspare PArrinello

Palermo, Palermo, Italy, 90127

3

GF Ingrasasia Hospital

Palermo, Palermo, Italy, 90132