Heart Failure; With Decompensation
Conditions
Keywords
Thoracic Impedance, Diagnostic Marker, Bed Rest Test, Transthoracic Impedance, Heart Failure, HF
Brief summary
This pilot study proposes to perform measurements of approved thoracic impedance technology that will help answer questions in patients with decompensated heart failure.
Detailed description
Improved metrics derived from the transthoracic impedance (Z) available from implanted Medtronic devices may provide more sensitive indicators of the state of compensation for heart failure patients. Quantification of specific data may provide new information that can improve quality of life for patients and offer vital information to clinicians regarding the adequacy of inpatient and outpatient assessment and management of acute decompensated heart failure.
Interventions
Any Medtronic implantable cardioverter defibrillator (ICD) or cardiac resynchronization therapy (CRT) device. Device must have capacity to measure thoracic impedance as described in protocol. This includes the majority of FDA-approved Medtronic devices currently in use.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with systolic dysfunction * Able to provide informed consent * Have a Medtronic manufactured device with Thoracic Impendence Monitoring capabilities
Exclusion criteria
* Patients with severe congestive heart failure who are intubated * Patients who are oxygen dependent on continuous positive or bilevel positive ventilation * Inability to tolerate postural variations due to congestive heart failure or other medical or surgical condition.Unable to complete proposed testing * Subjects who cannot giveWill not give written, informed consent on their own behalf
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from sitting to supine to standing in thoracic impedance | Baseline, 30 Days | thoracic impedance will be measured at each position at baseline visit then again at the follow-up visits through 30 days |
Secondary
| Measure | Time frame |
|---|---|
| Rate of change in thoracic impedance | Baseline, 30 days |
Countries
United States