Health Condition 1: I509- Heart failure, unspecified
Conditions
Interventions
Intervention1: NIL: NIL
Control Intervention1: NIL: NIL
Sponsors
Dr Vimal Bhardwaj
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 |
|---|---|
| To compare serial FVD and serial VExUS scoring as a predictor of organ dysfunction in acute heart failure patients.Timepoint: Until admitted in ICU | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the degree of venous congestion assessed by serial femoral venous Doppler in acute heart failure patients with organ dysfunction.Timepoint: Until admitted in ICU;To determine the utility of femoral venous Doppler as a prognostic marker in acute heart failure patients.Timepoint: Until admitted in ICU;To determine the correlation between femoral venous Doppler and right ventricular function.Timepoint: Until admitted in ICU | — |
Countries
India
Contacts
Public ContactDr Vimal Bhardwaj
Narayana Health
Outcome results
None listed