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Berlin Longterm Observation of Vascular Events - Pilot study

Conditions
Intracerebral haemorrhage
I21
I61
I63
E11
N17
I67.6
H34.1
H47.0
G45.0
Registration Number
DRKS00016852
Lead Sponsor
Charité Universitätsmedizin Berlin
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
2248
Inclusion Criteria

provision of signed and dated informed consent form
2)declared willingness to take part in study procedures and to be contacted again for further
follow-up examinations
3)persons of any sex and gender, aged 18 years or above at the time of acute event or study
inclusion
4)general health status is acceptable for participation in a study
5)clinical diagnosis of one or more of the following diseases:
A) acute heart failure (trigger event), defined by:
i) dyspnoe NYHA IIIb or IV and NTproBNP = 300 pg/nl OR
MRproANP = 120 pmol/l, AND

ii)evidence of pitting peripheral edema or radiological or clinical signs of
of pulmonary congestion, AND
iii)Need for i.v.-administration or dose escalation of diuretic therapie
equivalent to furosemid 40 mg or torasemid of 10 mg.

B) acute coronary syndrome (trigger event), defined by:
i) acute cardiac chest pain, or angina equivalent consistent with moderate to high-
risk unstable angina or myocardial infarction, lasting more than 10 minutes
duration during72 hours before invasive examination, AND
ii) evidence for ACS requiring catheterization documented by
(1)elevated enzymes (CK-MB or hs-troponin i/T >99th percentile or in-
/decrease) AND/OR
(2)ECG with ST-depression >1mm in 2 or more contiguous leads after the
J-point AND/OR
(3)transient ST-elevation >1mm in 2 or more contiguous leads lasting
<30 min OR
(4)STE-ACS with onset <24 hours previously and chest pain > 30 min
ST-elevation > 1mm in 2 or more contiguous leads or new left bundle block

C) acute cerebrovascular disorders (trigger event), defined by:
i) a transient ischemic attack (TIA) with clinical restitution within 24h AND
initial neurological deficit verified by a neurologist OR ABCD2-Score >= 3 OR
visibleDWI-lesion (MRI) OR the main hospital diagnosis of Amaurosis fugax
ii) Ischemic stroke including retinal central artery occlusion
iii) stroke caused by non-traumatic intracerebral hemorrhage
iv) stroke caused by cerebral venous thrombosis

D) acute kidney injury while hospitalized, that occurred 3-8 days before study inclusion
(trigger event), defined by:
i) >= 2fold increase in creatinine compared to a respective value during a presumed
or documented time period (stage 2 or 3 acute kidney injury according to KDIGO)
ii) persistence of the increased value for at least 72 hrs

E) diabetes mellitus type 2 (at day 60)
i) known diabetes mellitus type 2 characterized by
(1) pathological findings in oral glucose tolerance test, OR
(2) documented HbA1c >= 6.5%, OR
(3) Intake of any antidiabetic medication
ii) prediabetes with high cardiovascular risk, characterized by
(1)HbA1c >5.7% and <6.5% AND an ESC score >= 5

Exclusion Criteria

1) lack of capacity to give informed consent
2) pregnancy or lactation
3) life expectancy < 6 months due to non-cardio-/cerebrovascular diseases or conditions
4) organ transplanted
5) Lack of health insurance

Study & Design

Study Type
observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Composite endpoint consisting of: cardiovascular mortality, non-fatal stroke, non-fatal myoracial infarction, rehospitalization due to heart failure
Secondary Outcome Measures
NameTimeMethod
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