Heart failure Circulatory System Heart disease
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Outpatients with chronic heart failure: 1. > 18 years of age 2. Hospitalised for worsening of heart failure within 1–15 months 3. With LVSD as demonstrated by left ventricular ejection fraction = 40% measured using the most recent echocardiogram (= 2 years) 4. Validation of rhythm at inclusion
Exclusion criteria
Exclusion criteria: 1. Patients on waiting list for heart transplantation or planned implantation of left ventricular assist device; planned cardiac resynchronisation therapy and implantable cardioverter defibrillators are permitted 2. Patients with planned revascularisation 3. Patients hospitalised for cardiovascular disease within the past 4 weeks 4. Conditions hampering participation or the 18-month follow-up
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1 To evaluate physician’s adherence to HF guidelines by measuring prescriptions modalities of recommended HF medications 2. To calculate an adherence score 3. To analyze the reasons for non-adherence 4. To assess the impact of adherence level on clinical outcomes Measured at baseline and at 6, 12 and 18 months. | — |
Secondary
| Measure | Time frame |
|---|---|
| To characterize the clinical characteristics and management of outpatients with HF and left ventricular systolic dysfunction (LVSD). Measured at baseline and at 6, 12 and 18 months. | — |
Countries
Armenia, Australia, Austria, Azerbaijan, Bahrain, Belarus, Brunei, Canada, China, Denmark, Egypt, Georgia, Germany, Greece, Hungary, Ireland, Jordan, Kazakhstan, Korea, South, Kuwait, Lebanon, Lithuania, Malaysia, Morocco, Oman, Poland, Portugal, Qatar, Romania, Russian Federation, Slovakia, Spain, Thailand, Turkey, Ukraine, United Arab Emirates