exacerbation of Heart Failure treated at home MedDRA version: 13.1 Level: LLT Classification code 10000803 Term: Acute heart failure System Organ Class: 10007541 - Cardiac disorders MedDRA version: 13.1 Level: LLT Classification code 10019284 Term: Heart failure, congestive System Organ Class: 10007541 - Cardiac disorders MedDRA version: 13.1 Level: LLT Classification code 10024106 Term: Left heart failure System Organ Class: 10007541 - Cardiac disorders MedDRA version: 13.1 Level: LLT Class
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Exacerbation heart failure with NYHA class III-IV Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 30 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 80
Exclusion criteria
Exclusion criteria: • Cardiogenic shock • Tachycardia, heart rate > 100 bpm • Indication for hospitalization • Severe aortic valve stenosis • Severe hepatic or renal disease • Patients with acute coronary syndromes • Previous participation in the study • Life expectancy of < 1 year • Absolute contra indication for the use of Dopamine • Women of child-bearing potential • Unable to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: compare dopamine versus no dopamine on top of standard treatment in patients with exacerbation of severe heart failure (NYHA class III-IV) in home situation. This study will investigate whether 24 hour dopamine infusion reduces the need of hospital admission for patients with exacerbation heart failure;Secondary Objective: Secondary endpoints • Weight reduction • Renal impairment (elevation in serum creatinine by more than 40 micromoles/L) • Pro-BNP level • Absolute need of inotropicum • Occurrence of arrhythmia, hypertension, anginal pain, nausea, vomiting, and headache • Pharmacy-economical efficiency of the treatment ;Primary end point(s): Unplanned hospital admission for Heart Failure;Timepoint(s) of evaluation of this end point: During home treatment till 30 day's follow-up | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • Weight reduction • Renal impairment (elevation in serum creatinine by more than 40 micromoles/L) • Pro-BNP level • Absolute need of inotropicum • Occurrence of arrhythmia, hypertension, anginal pain, nausea, vomiting, and headache • Pharmacy-economical efficiency of the treatment ;Timepoint(s) of evaluation of this end point: During home treatment till 30 day's follow-up | — |
Countries
Netherlands
Contacts
Diagram B.V.