Heart Failure
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients who fulfill all the conditions below are eligible. 1) adult patients who regularly go to cardiology clinic in the Chiba University Hospital. 2) left ventricular ejection fraction below 40% despite guideline-directed optimal therapy. 3)mildly reduced left ventricular ejection fraction with unstable comorbidities. 4)patients in the transition phase from Stage C to D, or in Stage C and are interested in the disease trajectory. 5)consent to the continued ACP conversation with clinic nurses and doctors. 6)native or near-native of Japanese.
Exclusion criteria
Exclusion criteria: Patients who fulfill any of the conditions below are ineligible. 1) in Stage D and near end of life 2) unable to regularly come to the clinic 3) clinically significant dementia 4) life-limiting comorbidities with presumed prognosis within a year 5) reject to the study 6) decided as inappropriate by the investigators for other reasons
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in the score of the Kansas City Cardiomyopathy Questionnaire between baseline and 6months after introduction of ACP | — |
Countries
Japan
Contacts
Chiba University Hospital Department of Cardiology