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BLITZ Heart Failure

Completed
Conditions
Heart Failure
Registration Number
NCT03661060
Lead Sponsor
Heart Care Foundation
Brief Summary

To evaluate if Italian Cardiologists are treating Heart Failure (HF) patients according to International guidelines and if a structured educational program can improved their adherence.

Detailed Description

Multicentre, cross-sectional, prospective, non-interventional, observational study designed to evaluate the level of adherence to current ESC guidelines recommendations in both acute and chronic HF patients enrolled in each participating center and to verify if a specific HF educational intervention composed by an educational web based program of data collection and face to face meetings is able to improve adherence to guidelines recommendations evaluated during a second enrollment period.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
7569
Inclusion Criteria
  • All consecutive patients with chronic HF and those admitted for acute (de novo) or worsening chronic HF.
  • Chronic HF: any NYHA class (I-IV).
  • Acute HF Only patients in NYHA class III or IV, or with pulmonary edema or cardiogenic shock for whom an IV therapy specific for HF (diuretic, vasodilators, vasopressors) is administered.
  • Any gender.
  • Any etiology of HF.
  • Any level of EF.
  • Written informed consent.
Exclusion Criteria
    • Age <18 years.
  • Inclusion in registries or trials that can influence, by protocol, the clinical management of patients.
  • Patients already enrolled in the BLITZ HF (by another participating centre or in the first enrollment period).

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Adherence to current guidelineEnrollment

To assess number of patients managed and treated following the 2016 ESC Heart Failure Gudelines (acute HF, chronic HFrEF, chronic HFmrEF, chronic HFpEF).

Patients managed and treated following International Guideline24 months

Patients treatment in phase 1 versus phase 3

Secondary Outcome Measures
NameTimeMethod
Mortality12 months Follow-up

Death from all-causes, for cardiovascular causes, for HF

Morbidity12 months Follow-up

Hospital admissions from all-causes, for cardiovascular causes, for HF

Indication to heart failure device implantationEnrollement

The rate of patients with chronic HFrEF with an indication to ICD and/or CRT planned in clinical practice

Prescription rate of disease modifying drugsEnrollment

The rate of patients with HFrEF receiving all the drugs recommended by current guidelines: ACE-Is/ARBs, betablockers and MRAs, in the absence of specific contraindications/intolerance.

Oral anticoagulation prescription in patients with AFEnrollment

Rate of patients treated with oral anticoagulants in case of AF

Use of ARNIEnrollment

The rate of implementation of a new drug approach (ARNI) for patients with HF and EF ≤35%

Creatinine and EF evaluationEnrollment

The rate of CHF patients with an available measure of EF and of creatinine.

Trial Locations

Locations (122)

Ospedali Riuniti - Sod Cardiologia Ospedaliera Emod. E Utic

🇮🇹

Ancona, AN, Italy

Ospedale Generale Regionale-Po U. Parini - U.O. Cardiologia E Cure Intensive Card.

🇮🇹

Aosta, AO, Italy

Ospedale Gen.Le Prov.Le C.G. Mazzoni - Sc Cardiologia

🇮🇹

Ascoli Piceno, AP, Italy

Ospedale Valdichiana Santa Margherita - Uos Cardiologia E Hdu

🇮🇹

Cortona, AR, Italy

Aorn San Giuseppe Moscati - U.O. Cardiologia/Utic 'D. Rotiroti'

🇮🇹

Avellino, AV, Italy

Asst Papa Giovanni Xxiii - Cardiologia 1

🇮🇹

Bergamo, BG, Italy

Ospedale Bolognini - Cardiologia E Unita' Coronarica

🇮🇹

Seriate, BG, Italy

Ospedali Treviglio-Caravaggio - Cardiologia

🇮🇹

Treviglio, BG, Italy

Ospedale Santa Maria Del Prato - U.O. Di Cardiologia

🇮🇹

Feltre, BL, Italy

Ospedale Maggiore - U.O. Di Cardiologia

🇮🇹

Bologna, BO, Italy

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Ospedali Riuniti - Sod Cardiologia Ospedaliera Emod. E Utic
🇮🇹Ancona, AN, Italy

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