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Effect of one or two diuretics in patients with decompensated heart failure - a clinical trial

Phase 4
Recruiting
Conditions
Heart failure
Registration Number
RBR-5qkn8h
Lead Sponsor
Hospital de Clínicas de Porto Alegre
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
Not specified
Inclusion Criteria

Diagnosis of acutely decompensated heart failure; age greater than 18 years; male and female; emergency admission for less than 18 hours; signs of congestion (lower limb edema, pulmonary crackles, chest X-ray with signs of congestion, jugular swelling or hepatojugular reflux, weight gain greater than 4.5 kg); endogenous creatinine clearance greater than 30 ml / min; serum potassium between 3.5 and 5.1 mEq / L; ejection fraction equal to or less than 45% in the last 12 months; to sign a free and informed consent form.

Exclusion Criteria

Hypernatremia; Bartter or Gitelman syndrome; renal tubular acidosis type IV; allergy to sulfa; validity of acute coronary syndrome; history of gout; gestation or lactation; septic shock; hepatic dysfunction (elevation of transaminases three times the reference value); inability to enteral intake.

Study & Design

Study Type
Intervention
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Congestion reduction (weight loss of 1.8 kg) is expected to be achieved, with daily weighing machine, during administration of the medication or placebo, according to randomization), by comparing weight before intervention and after the end of it.
Secondary Outcome Measures
NameTimeMethod
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