Heart failure
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Patients aged 65 years or older 2. Admitted for decompensated heart failure 3. Able to ambulate independently at discharge 4. Heart failure diagnosed according to the Japanese Circulation Society/Japanese Heart Failure Society Guidelines 5. Provision of written informed consent for study participation
Exclusion criteria
Exclusion criteria: 1. low serum BNP (<100pg/ml) / NT-pro BNP (<300pg/ml) level on admission 2. Planned valvular surgical procedures at discharge 3. Pulmonary arterial hypertension 4. Chronic thromboembolic pulmonary hypertension 5. Chronic dialysis or planned initiation of dialysis at discharge 6. Planned or undergone heart transplantation or left ventricular assist device 7. Acute myocarditis 8. Peripheral arterial disease (Rutherford classification I-IV) 9. Central or peripheral neurological disorders affecting muscle function 10. Severe arthritis or orthopedic conditions limiting physical assessment 11. Active malignancy or systemic inflammatory conditions 12. Unable to complete SWE measurements 13. Life expectancy < 1 year due to non-cardiac conditions 14. Participation in other interventional clinical trials
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| All-cause mortality | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. A composite endpoint including cardiovascular death, non-cardiovascular death, hospitalization due to heart failure, stroke, bleeding events, pneumonia, and falls/fractures 2. Presence and severity of sarcopenia and changes in its components including muscle mass, muscle strength, and physical function 3. Physical, social, and cognitive frailty and changes in their constituent elements 4. Changes in activities of daily living (ADL) capability as measured by the Barthel Index from baseline (at discharge) to 1-year follow-up, categorized as either progression or improvement | — |
Countries
Japan
Contacts
Division of Rehabilitation / Department of Rehabilitation, School of Medicine Division of Rehabilitation / Department of Rehabilitation, School of Medicine