Heart Failure
Conditions
Brief summary
The relationship between the activation of the vasopressin system and central hemodynamics in heart failure (including right and left heart filling pressures and cardiac output) is not clear. The investigators intend to examine the correlation between levels of copeptin and vasopressin and the central hemodynamic system in patients with advanced (class III or IV) heart failure. The investigators also aim to examine the relationship of selected cardiac biomarkers in blood and urine with cardiac filling pressures and cardiac output in patients with decompensated heart failure. The study population will consist of 30 patients admitted to the Department of Cardiology at Copenhagen University Hospital. Only patients for whom the attending cardiologist has already decided upon right heart catheterization for clinical/treatment reasons will be recruited for the study.
Interventions
Sponsors
Finn Gustafsson
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
1. Age \> 18 years 2. Left ventricular ejection fraction \< 40 % 3. Diagnosed symptomatic heart failure treated with heart failure medications for at least 30 days. 4. Clinical indication for right heart catheterization for clinical/treatment reasons 5. NYHA-class III-IV 6. Relevant heart failure treatment as tolerated by the patient
Exclusion criteria
1. Absence of clinical/treatment indication of right heart catheterization 2. Syndrome of Inappropriate Secretion of ADH (SIADH) 3. Recent acute myocardial infarction within the last 30 days 4. Presence of infection or inflammatory disease 5. Malignant disease 6. Pregnancy 7. Subjects unwilling or unable to provide written consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The correlation between levels of plasma copeptin and vasopressin with left ventricular filling pressure and cardiac output | Day 1 |
Secondary
| Measure | Time frame |
|---|---|
| The correlation between levels of plasma copeptin and vasopressin with urine aquaporin-2 concentration | Day 1 |
| The correlation between New York Heart Association (NYHA) class and levels of plasma copeptin and vasopressin | Day 1 |
| The correlation between biomarkers levels and survival free of transplantation- and left ventricular assist device insertion | 1 year |
Countries
Denmark
Contacts
Primary ContactFinn Gustafsson, MD, DMSc
Backup ContactLouise Balling, MD
Outcome results
None listed