Heart Failure, Congestive
Conditions
Keywords
NT-proBNP
Brief summary
The purpose of this study is to determine whether NT-proBNP guided treatment of chronic congestive heart failure will reduce heart failure related morbidity and mortality compared to therapy guided by standard clinical judgement.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Admission because of congestive heart failure * Elevated NT-proBNP levels on admission
Exclusion criteria
* Life-threatening cardiac arrhythmias * Urgent intervention * Severe lung disease * Presence of life threatening disease * Signed informed consent for other study * Mental or physical status not allowing written informed consent. * Unwillingness to give informed consent * Patients undergoing haemodialysis or continuous ambulatory peritoneal dialysis (CAPD)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference in total number of days alive and outside the hospital between the NT-proBNP guided and the clinical guided group. | minimum of one year |
Secondary
| Measure | Time frame |
|---|---|
| Cardiovascular mortality | at least one year |
| All cause hospitalization | at least one year |
| Cardiovascular related hospitalization | at least one year |
| Total number of hospitalizations and mortality | at least one year |
| All cause mortality | at least one year |
| Differences in primary and secondary outcome measures among renal function and age subgroups | At least one year |
| Differences in evidence based heart failure medication prescription after 3, 6 and 12 months | At least one year |
| Analysis of major endpoints in patients where NT-proBNP levels were at or below the individual target level in at least 75% of all outpatient visits | at least one year |
| Total number of cardiovascular hospitalizations and mortality | at least one year |
Countries
Netherlands