Heart Failure
Conditions
Keywords
Plasma Volume, Red Blood Cell Volume, Blood Volume, Diuresis
Brief summary
In patients discharged following heart failure treatment, the consistency of blood volume status and components over time is unknown. The primary objective is to describe the rate of change, if any, of the plasma volume and red blood cell volume following hospitalization and discharge of patients with heart failure.
Detailed description
Over 6 million Americans suffer from heart failure, one of the most prevalent and deadly diseases. High 30-day readmission and mortality rates have persisted despite advances in care. Clinical guidelines suggest blood volume assessment and clinical management to euvolemia or normal blood volume, but standard methods of blood volume diagnosis have been shown to be unreliable. FDA-cleared Blood volume analysis (BVA) has been used to quantify otherwise undiagnosed blood volume derangements in heart failure and other indications. Also, care guided by BVA has been demonstrated to improve inpatient heart failure readmission and mortality. A similar analysis has not previously been performed immediately following hospital discharge, though this period is understood to be challenging due to high variability of patient status, physiology, and compliance. This is a prospective, single-center, observational open-label study. The primary objective is to quantify changes to plasma volume and red blood cell volume over a 12 week period post-discharge.
Interventions
DEVICEBVA-100
The BVA-100 is a software package designed to calculate human blood volume using the method of tracer dilution. It uses tagged serum albumin (a commonly used tag is 131I, resulting in 131I -HSA). Data inputs to the software come from the measured characteristics of subject blood samples (hematocrit and tracer concentration) and tracer calibration standards. The package also calculates the subject expected (or ideal) blood volume from physical parameters. Hyper- or hypovolemia, associated red blood cell volumes, and transudation rate are reported, with statistics showing the quality of the results. The subject blood samples and calibration standards are measured in a gamma counter, whose output is automatically, or manually, input to this calculation program.
Sponsors
Geisinger Clinic
Daxor Corporation
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Hospitalized male and female patients with primary or secondary admission diagnosis of acute heart failure exacerbation * \> 18 years of age * Able and willing to provide consent * Reduced or preserved LVEF
Exclusion criteria
* Diagnosed with current acute strokes * Pregnant women * Severe hypotension requiring resuscitation, intubation or circulatory support * Cardiogenic shock * Patients with known cardiac amyloid and hypotension * Known allergy to iodine or iodinated albumin
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quantify volume shifts in post discharge heart failure patients | 12 weeks | Accurately quantify changes to plasma volume and red blood cell volume in HF outpatients over the 12-week period following discharge. |
Countries
United States
Outcome results
None listed