None listed
Conditions
Interventions
None listed
Sponsors
Vrije Universiteit Medisch Centrum
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: General: 18 years of age or older Able to provide informed consent No initiated therapy since arrival to the ED Must be enrolled within 2 hours of arrival to the ED Acute CHF Recurrent or worsening (within 3 days) shortness of breath as the primary presenting ED complaint Initial treating ED physician impression that the worsening dyspnea is most likely caused by decompensated CHF Known history of physician diagnosed CHF BNP level will be ordered by the treating physician as part of the patient*s work up Acute stroke syndrome: Onset of abnormal neurological symptoms consistent with possible stroke, within the prior 24 hours, as the primary ED complaint Initial treating ED physician impression that the abnormal neurological symptoms/signs are most likely caused by an acute stroke syndrome Non contrast head CT will be ordered by the treating physician as part of the patient*s work up Acute Systemic Infection: Any combinations of acute (within 3 days) symptoms and signs that the treating ED physician, after initial history and physical examination, attributes to a systemic infection Blood cultures and/or a blood lactate will be ordered by the treating physician as part of the patient*s work up
Exclusion criteria
Exclusion criteria: ESRD requiring hemo or peritoneal dialysis Suspected pregnancy Not able to be followed up in 30 days Patients with *comfort only* DNR status Patients with known STEMI Excessive agitation Transferred from another treating facility Known aortic valve disease, aortic insufficiency or aortic stenosis On continuous IV home infusions (such as milrinone, primacor) Known Left Ventricular Assist device (LVAD) Known prior enrollment in this study In current therapeutic Investigational study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| . | — |
Secondary
| Measure | Time frame |
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Countries
Netherlands
Outcome results
None listed