CARVD-AHF

N
Nicholas Harrison

Primary Investigator

Enrolling By Invitation
18-100 years
All
Phase N/A
150 participants needed
1 Location

Brief description of study

There is a critical need to develop effective treatments for central apnea during heart failure hospitalization. Lung ultrasound and molecular markers from blood tests may indicate patients needing alternate dosing regimens for decongestion, typically through diuresis, which in turn may be related to central apnea.

Detailed description of study

Objective 1: Identify reversible clinical predictors of dynamic change in polysomnographic central apnea burden during acute heart failure hospitalization.
Objective 2: Identify in-hospital disordered breathing mediators of cardiac dysfunction lasting after discharge.
Objective 3: Create a biospecimen repository of plasma and serum to be analyzed in future studies for novel molecular markers associated with central apnea and/or cardiac dysfunction.

Eligibility of study

You may be eligible for this study if you meet the following criteria:

  • Conditions: heart failure,apnea
  • Age: Between 18 Years - 100 Years
  • Gender: All

Inclusion Criteria:
  • ·        ED patients ≥18 years old
    ·        The treating clinician suspects a diagnosis of AHF
    ·        Patient has sonographic diagnostic criteria for AHF  (≥1 lung zone bilaterally with B-lines) by standard of care lung ultrasound exam
    ·        Lung ultrasound is performed prior to, or <3 hours after, the first IV dose of loop diuretic.
Exclusion Criteria:
  • ·        Fixed/preexisting neurologic disease potentially causing central apnea (a. traumatic brain injury, b. disabling stroke)
    ·        Conditions other than cardiogenic pulmonary edema which may show bilateral B-lines on lung ultrasound (a. pulmonary fibrosis, b. bilateral pneumonias (including COVID-19), c. aspiration pneumonia, d. ARDS e. Sarcoidosis)

Updated on 01 Aug 2024. Study ID: 11550, EMER-IIR-CARVD-AHF
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