Dyspnea, Heart Failure Acute
Conditions
Keywords
dyspnea, acute heart failure
Brief summary
The CARDIOSTORY.TN study is a prospective observational study at Sahloul University Hospital (Sousse, Tunisia) evaluating the CardioStory device for distinguishing heart failure (HF) from other causes of acute dyspnea. Background: Dyspnea is common in emergencies, and differentiating cardiac from non-cardiac causes is often delayed by the limits of echocardiography and BNP tests. CardioStory is a rapid (\ 2 minutes), non-invasive tool that measures cardiac filling pressure, a key HF marker. Objectives: Primary: Assess CardioStory's diagnostic accuracy. Secondary: Compare it with echocardiography and NT-proBNP, evaluate ease of use, and measure time to diagnosis. Methods: Adults (≥18) with acute dyspnea (\<7 days) included; unstable or traumatic/allergic cases excluded. CardioStory results will be compared to standard diagnostics. Sample size: 850 patients over 12 months. Outcome: If accurate, CardioStory could be a fast, practical diagnostic tool for emergency settings.
Interventions
measure the pressure of remplissage
Sponsors
Study design
Eligibility
Inclusion criteria
* • Age ≥ 18 years * Recent onset dyspnea (less than 7 days) * Informed consent obtained
Exclusion criteria
* • Age inferior to 18 years, * Severe comorbidity, hemodynamic compromise or immediate need for mechanical ventilation were
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diagnostic accuracy of the CardioStory device in identifying heart failure (sensitivity, specificity, PPV, NPV). | 12 hours |
Secondary
| Measure | Time frame |
|---|---|
| o Concordance between CardioStory and standard diagnostic tools o Time to diagnosis o Ease of use and practicality (via physician questionnaire) | 12 hours |