heartfailure, muscle counter pulsation, hartfalen,
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: a. NYHA class III+ or IV on admission b. Clinical signs of cardiac decompensation are clearly present at inclusion into the study c. NT-pro BNP >800 pg/ml d. Need for intravenous therapy with loop diuretics (e.g. bumetanide) and/or nitro-glycerine
Exclusion criteria
Exclusion criteria: a. Systolic BP >180mmHg (despite treatment) or 20% ectopic beats) k. Atrial fibrillation (HR>100 bmp) l. Sinus rhythm >120 bpm m. Bradycardia <60 bpm n. Deep venous thrombosis o. Pulmonary emboli p. Significant systemic infection (e.g. pneumonia) q. Patient life expectancy of <1 year for non-cardiac reasons r. Known severe diabetes polyneuropathy s. Age <18 years
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary endpoint is the effect of MCP on the combination of the cumulative diuretic dosage and length of hospital stay. | — |
Secondary
| Measure | Time frame |
|---|---|
| a. To evaluate the effect of MCP on muscular function / strength b. To evaluate the effect of MCP on renal function c. To evaluate the effect of MCP on biomarkers known to be important in heart failure d. To evaluate the effect of MCP on the use of positive inotropic substances/ mechanical devices such as e.g. IABP e. To evaluate the effect of MCP on quality of life (36-item Short Form (SF-36)), impact of heart failure on daily living (Kansas City Cardiomyopathy Questionnaire (KCCQ)) f. To evaluate the effect of MCP on length of hospital stay g. To evaluate the feasibility of usage of MCP in everyday acute cardiac care on ICU and peripheral ward h. To evaluate the effect on mortality and re-hospitalisation assessed at 30 days after discharge | — |
Contacts
Maastricht Universitair medisch Centrum