Assessment and Management of Acute Heart Failure Patients Guided by Electrical Cardiometry
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- mortality and intensive care unit (ICU) length of stay
研究概览
简要总结
The goal of this clinical trial is to assess if electrical cardiometry (EC) could help in managing acute heart failure (AHF). The main questions it aims to answer are:
- Is there effect of use of cardiometry on rate of use of vasopressors, vasodilators and inotropes?
- is there effect of use of cardiometry on mortality and hospital length of stay?
Researchers compared cardiometry to traditional methods like clinical examination, lung ultrasound and inferior vena cava.
Participants were divided into two groups, one managed by cardiometry and the other by traditional methods, then followed till improvement or death and compared regarding use of medications, length of stay and mortality
详细描述
The purpose of the research is to assess the role of electrical cardiometry in hemodynamic monitoring in studied cases with acute heart failure to guide treatment.
This is a prospective controlled research that involved fifty patients, diagnosed with acute heart failure and admitted to critical care units at Alexandria University Hospitals, patients were divided into 2 groups:
Group A: was assessed by traditional methods which include: clinical examination including chest auscultation and systolic blood pressure measurement, lung ultrasound and inferior vena cava assessment and managed according to the results of these parameters.
Group B: was assessed by electrical cardiometry parameters as cardiac output, thoracic fluid content (TFC) and systemic vascular resistance (SVR) and was managed as following: inotropes up and down titration according to cardiac output readings, use of vasopressors or vasodilators according to SVR readings, doses of diuretics were modified according to TFC readings.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Care Provider)
入排标准
- 年龄范围
- 18 Years 至 85 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •acute heart failure
排除标准
- •pregnant females, atrial fibrillation, severe valvular diseases, skin lesions in thoracic area, large pleural effusion
研究组 & 干预措施
Group A: traditional group
traditional methods like clinical examination, lung ultrasound, inferior vena cava
干预措施: traditonal methods (Other)
Group B: cardiometry group
use of cardiometry parameters like cardiac output, thoracic fluid content and systemic vascular resistance
干预措施: electrical cardiometry (Device)
结局指标
主要结局
mortality and intensive care unit (ICU) length of stay
时间窗: 7 days
number of days in ICU and mortality in ICU
次要结局
- use of vasopressors, vasodilators, inotropes(7 days)