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NCT04739098

Initial Manifestations of Congestive Heart Failure in Patients With NSTEACS

Status unknown Last updated 1 December 2023
What this trial tests

trial in Acute Heart Failure, Non-ST-segment Elevation Acute Coronary Syndrome in 200 participants. Status unknown.

Timeline
30 January 2020
Primary endpoint
2 May 2023
28 August 2024

Quick facts

Lead sponsorNational Medical Research Center for Therapy and Preventive Medicine
StatusStatus unknown
Study typeOBSERVATIONAL
Enrollment200
Start date30 January 2020
Primary completion2 May 2023
Estimated completion28 August 2024
Sites1 location across Russia

Conditions studied

Sponsor

National Medical Research Center for Therapy and Preventive Medicine

Who can join

18 and older, any sex, with Acute Heart Failure, Non-ST-segment Elevation Acute Coronary Syndrome. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Acute heart failure (HF) is a common complication of acute coronary syndrome (ACS) associated with poor prognosis. Diagnosis of congestive HF in patients with initial, non-severe symptoms and signs may be challenging and early stages of this complication may be missed. To assess severity of HF in patients with ACS Killip classification is widely used but it does not take into account mild manifestations of HF. Thus, patients without rales in the lungs and/or S3 will be labelled as Killip class 1. The aim of this study is to determine the frequency, risk factors, abilities for early diagnosis using routine medical evaluation and clinical significance of subclinical and mildly symptomatic congestive HF in patients with ACS without persistent ST-segment elevation (NSTEACS). The study will include 200 patients with NSTEACS without history of severe HF and overt signs of congestion at presentation. Presence and severity of dyspnea (according to Likert ans Visual analog scales), physical signs of heart failure (respiratory rate, distention of jugular veins, S3), peripheral oxygen saturation by pulse oximetry, heart rate and signs of ischemia on ECG, signs of congestion according to lung and vena cava inferior ultrasound and chest X-Ray/CT as well as levels of NT-proBNP, hsTn, CRP and FABP at presentation will be evaluated. Presence and severity of dyspnea, physical signs of heart failure, oxygen saturation, heart rate and signs of ischemia on ECG, lung and vena cava inferior ultrasound will be re-assessed after 6, 12 and 24 hours. During hospitalization occurrence or worsening of clinical HF. Clinical events will be followed up to 12 months after hospitalization.

Publications & conference data

No peer-reviewed publications indexed yet for this trial.

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Other National Medical Research Center for Therapy and Preventive Medicine trials

Trials by the same sponsor.

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Data sources for this page

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