Heart Failure; With Decompensation
Conditions
Brief summary
To conduct a prospective, observational study to evaluate the non-interventional feasibility of using heart sounds measurements recorded by the LifeVest® Wearable Cardioverter Defibrillator (WCD) for monitoring clinical evidence of heart failure decompensation.
Detailed description
To conduct a prospective, observational study to evaluate the non-interventional feasibility of using heart sounds measurements recorded by the LifeVest® Wearable Cardioverter Defibrillator (WCD) for monitoring clinical evidence of heart failure decompensation. Participants will be adult (age ≥ 18 years) heart failure patients with an ejection fraction (EF) ≤ 35% and eligible to wear the WCD for at least 3 months. An FDA-approved WCD will be prescribed for at least 3 months of use after hospital discharge. This is a multi-center, prospective, observational study. The study will enroll a total of 300 subjects, anticipating that at least 250 subjects will complete the study. A maximum of 50 sites will enroll patients into the study.
Interventions
Observe and compare the heart sound measurements recorded by the WCD
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients who are prescribed the WCD ≤ 10 days post-discharge after hospitalization with Heart Failure (HF), with and ischemic or non-ischemic cardiomyopathy. * Patients who have an ejection fraction (EF) ≤ 35% at the time of WCD prescription. * Patients are anticipated to wear the WCD for at least 3 months. * The subject must be 18 years of age or older on the day of screening.
Exclusion criteria
* Patients with pacemakers, an implanted cardioverter defibrillator (ICD), or a cardiac resynchronization therapy device. * Patients waiting for heart transplant. * Patients with known evidence of atrial fibrillation on their most recent ECG recording. * Patients currently hospitalized for acute myocardial infarction. * Patients with a planned revascularization within 30 days of screening. * Patients who are self-reporting to be pregnant. * Patients participating in another clinical study. * Patients not expected to live longer than 1 year. * For patients in the United States, those who are unable or unwilling to provide written informed consent in English. * For patients in Europe, those who are unable or unwilling to provide written informed consent in their country specific language or English.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Observe the changes in the heart sounds measurement | 3 months | Observe the changes in the heart sounds measurement (recorded by the WCD) with clinical evidence of heart failure decompensation during the three month WCD treatment period. |
Countries
Austria, Germany, Poland, United States