Acute Heart Failure, Pulmonary Congestion
Conditions
Keywords
Lung Ultrasound, Diuretics, Medical department
Brief summary
Evaluate lung ultrasound aspect according to diuretics dosage evolution in patients hospitalized for acute heart failure.
Detailed description
EPPICA is an observational and prospective cohort study. The study goal is to evaluate LUS aspect evolution according to diuretics dosage in patients hospitalized for acute heart failure.
Interventions
OTHERLung ultrasound
We will perform daily a lung ultrasound to evaluate pulmonary congestion by counting B-lines.
Sponsors
University Hospital, Grenoble
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Acute heart failure diagnosed by a senior physician in the medical department, with a confirmation of a second senior physician. * Hospitalised in the medical department. * No objection from the patient of his trusted person.
Exclusion criteria
* Administrative supervision or deprived of their liberty * Pulmonary conditions distracting lung ultrasound (pneumonectomy, pulmonary fibrosis) * Chronically dialysed
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Lung ultrasound aspect according to diuretics dosage evolution. | LUS will be performed daily during the whole hospitalisation length (on average 7 days). | B-lines number on LUS |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lung ultrasound aspect according to clinical signs of acute heart failure (crackling auscultation or lower limbs edema) | LUS and clinical examination will be performed daily during the whole hospitalisation length (on average 7 days). | B-lines number on LUS |
| Lung ultrasound aspect according to acute kidney injury (based on plasmatic creatinine levels). | LUS will be performed daily during the whole hospitalisation length (on average 7 days). Plasmatic creatinine measure will be performed at least weekly. | B-lines number on LUS |
| Lung ultrasound aspect according to early prognosis (re-hospitalisation or mortality within 30 days after discharge) | LUS will be performed daily during the whole hospitalisation length (on average 7 days). Patient will be called 30 days after discharge. | B-lines number on LUS |
| Feasibility of daily LUS in medical department. | LUS will be performed daily during the whole hospitalisation length (on average 7 days). | Number of LUS performed compared to number of hospitalisation days. |
| Interest of LUS compared to clinical examination at discharge. | LUS and clinical examination will be performed daily during the whole hospitalisation length (on average 7 days). | B-lines at discharge compared to clinical signs of acute heart failure. |
Contacts
Primary ContactPerrine Dumanoir, Doctor
Backup ContactMélanie Arnaud
Outcome results
None listed