LUS in Acute Heart Failure Therapeutic Adaptation (EPPICA)
Interest of Lung Ultrasound (LUS) in Therapeutic Adaptation of Patients Hospitalized in Medical Department for Acute Heart Failure (AHF).
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Anticipated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Perrine Dumanoir, Doctor
- Phone Number: +33476767098
- Email: pdumanoir@chu-grenoble.fr
Study Contact Backup
- Name: Mélanie Arnaud
- Phone Number: +3376767098
- Email: marnaud3@chu-grenoble.fr
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- Acute heart failure diagnosed by a senior physician in the medical department, with a confirmation of a second senior physician.
- Hospitalised in the medical department.
- No objection from the patient of his trusted person.
Exclusion Criteria:
- Administrative supervision or deprived of their liberty
- Pulmonary conditions distracting lung ultrasound (pneumonectomy, pulmonary fibrosis)
- Chronically dialysed
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Patients with acute heart failure
Patients hospitalized for acute heart failure in medical department.
|
We will perform daily a lung ultrasound to evaluate pulmonary congestion by counting B-lines.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Lung ultrasound aspect according to diuretics dosage evolution.
Time Frame: LUS will be performed daily during the whole hospitalisation length (on average 7 days).
|
B-lines number on LUS
|
LUS will be performed daily during the whole hospitalisation length (on average 7 days).
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Lung ultrasound aspect according to clinical signs of acute heart failure (crackling auscultation or lower limbs edema)
Time Frame: LUS and clinical examination will be performed daily during the whole hospitalisation length (on average 7 days).
|
B-lines number on LUS
|
LUS and clinical examination will be performed daily during the whole hospitalisation length (on average 7 days).
|
|
Lung ultrasound aspect according to acute kidney injury (based on plasmatic creatinine levels).
Time Frame: LUS will be performed daily during the whole hospitalisation length (on average 7 days). Plasmatic creatinine measure will be performed at least weekly.
|
B-lines number on LUS
|
LUS will be performed daily during the whole hospitalisation length (on average 7 days). Plasmatic creatinine measure will be performed at least weekly.
|
|
Lung ultrasound aspect according to early prognosis (re-hospitalisation or mortality within 30 days after discharge)
Time Frame: LUS will be performed daily during the whole hospitalisation length (on average 7 days). Patient will be called 30 days after discharge.
|
B-lines number on LUS
|
LUS will be performed daily during the whole hospitalisation length (on average 7 days). Patient will be called 30 days after discharge.
|
|
Feasibility of daily LUS in medical department.
Time Frame: LUS will be performed daily during the whole hospitalisation length (on average 7 days).
|
Number of LUS performed compared to number of hospitalisation days.
|
LUS will be performed daily during the whole hospitalisation length (on average 7 days).
|
|
Interest of LUS compared to clinical examination at discharge.
Time Frame: LUS and clinical examination will be performed daily during the whole hospitalisation length (on average 7 days).
|
B-lines at discharge compared to clinical signs of acute heart failure.
|
LUS and clinical examination will be performed daily during the whole hospitalisation length (on average 7 days).
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Perrine Dumanoir, Doctor, University Hospital, Grenoble
Publications and helpful links
General Publications
- Gargani L, Pang PS, Frassi F, Miglioranza MH, Dini FL, Landi P, Picano E. Persistent pulmonary congestion before discharge predicts rehospitalization in heart failure: a lung ultrasound study. Cardiovasc Ultrasound. 2015 Sep 4;13:40. doi: 10.1186/s12947-015-0033-4.
- Ohman J, Harjola VP, Karjalainen P, Lassus J. Focused echocardiography and lung ultrasound protocol for guiding treatment in acute heart failure. ESC Heart Fail. 2018 Feb;5(1):120-128. doi: 10.1002/ehf2.12208. Epub 2017 Sep 28.
- Coiro S, Rossignol P, Ambrosio G, Carluccio E, Alunni G, Murrone A, Tritto I, Zannad F, Girerd N. Prognostic value of residual pulmonary congestion at discharge assessed by lung ultrasound imaging in heart failure. Eur J Heart Fail. 2015 Nov;17(11):1172-81. doi: 10.1002/ejhf.344. Epub 2015 Sep 29.
- Platz E, Merz AA, Jhund PS, Vazir A, Campbell R, McMurray JJ. Dynamic changes and prognostic value of pulmonary congestion by lung ultrasound in acute and chronic heart failure: a systematic review. Eur J Heart Fail. 2017 Sep;19(9):1154-1163. doi: 10.1002/ejhf.839. Epub 2017 May 30.
- Volpicelli G, Caramello V, Cardinale L, Mussa A, Bar F, Frascisco MF. Bedside ultrasound of the lung for the monitoring of acute decompensated heart failure. Am J Emerg Med. 2008 Jun;26(5):585-91. doi: 10.1016/j.ajem.2007.09.014.
- Rusu DM, Siriopol I, Grigoras I, Blaj M, Ciumanghel AI, Siriopol D, Nistor I, Onofriescu M, Sandu G, Cobzaru B, Scripcariu DV, Diaconu O, Covic AC. Lung Ultrasound Guided Fluid Management Protocol for the Critically Ill Patient: study protocol for a multi-centre randomized controlled trial. Trials. 2019 Apr 25;20(1):236. doi: 10.1186/s13063-019-3345-0.
Study record dates
Study Major Dates
Study Start (Anticipated)
Study Start
Primary Completion (Anticipated)
Primary Completion
Study Completion (Anticipated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 38RC20.328
- 2020-A02413-36 (Other Identifier: ID RCB)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.