Health Condition 1: I509- Heart failure, unspecified
Conditions
Interventions
Intervention1: VExUS group: Patients in this arm will receive VExUS scoring and lung ultrasoundâ??targeted diuretic therapy.
Diuretic therapy will be provided until decongestion is achieved.
Decon
Sponsors
Narayana Hrudayalya
Eligibility
Inclusion criteria
Inclusion criteria: Getting admited with a diagnosis of acute heart failure [defined as recent worsening of shortness of breath or oxygen saturation (SpO2) < 90% on room air or orthopnea/paroxysmal nocturnal dypnea (PND) along with an increase in NT proBNP]
Exclusion criteria
Exclusion criteria: 1.Need for intubation (or already intubated). 2.Signs or symptoms or markers of hypoperfusion: cold extremities, altered mentation, confusion, oliguria, Lactate > 2 mmol/L. 3.Persistent hypotension (SBP 4.Requirement of two or more vasoactive agents to maintain blood pressure. 5.Requirement for invasive cardiac output monitoring. 6.Requirement for Mechanical Circulatory Support. 7.Heart rate 8.Any associated non-cardiac condition requiring critical care admission. 9.Pulmonary arterial systolic pressure > 55mm/hg by bedside 2d-echocardiography 10.Patients with comfort care directives. 11.Suspected sepsis 12.Pregnancy 13.Liver cirrhosis 14.Severe ascites (Grade 3 Ascites defined as Large or gross ascites with marked abdominal distension)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| RehospitalizationTimepoint: 90 days | — |
Secondary
| Measure | Time frame |
|---|---|
| Length of stay in hospitalTimepoint: At discharge;Major adverse kidney event (MAKE)Timepoint: 90 days;MortalityTimepoint: 90 days;New onset organ failureTimepoint: In hospital | — |
Countries
India
Contacts
Public ContactDr Vimal Bhardwaj
Narayana Hrudayalaya
Outcome results
None listed