- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05573997
Novel Echocardiographic Biomarkers Assessing the Myocardial Work in Heart Failure (Beyond-MyoHF)
Clinical Value of Novel Echocardiographic Biomarkers Assessing the Myocardial Work in Heart Failure
Study Overview
Status
Detailed Description
Despite ongoing advances in early diagnosis and therapy, heart failure (HF) represents a worldwide health burden with high in-hospital mortality during the acute phase of hospitalization and high readmission rates following the event of decompensation. Patients acutely hospitalized for HF represent a widely heterogenous population in terms of primary etiology, clinical manifestations, echocardiographic characteristics, appropriate therapeutic management, and prognosis.
As more advanced HF therapeutic strategies are emerging, the cardiology community attempts to identify new HF sub-phenotypes that will serve as successful recipients of such treatments. The role of echocardiography in this attempt is far from exhausted, as novel indices are entering the research arena potentially capable of identifying new phenotypes, enlightening the subtending pathophysiology, and providing incremental prognostic information.
All adult patients acutely admitted at the Department of Cardiology at AHEPA University General Hospital of Thessaloniki with symptoms and/or signs of HF meeting the inclusion criteria will be invited to participate in the present study. A complete and comprehensive medical interview will be conducted in each eligible patient. Demographic characteristics and baseline medical history, including primary etiology and clinical presentation of hospitalization will be recorded for all participants. Pharmacological and non-pharmacological standard of care therapeutic maneuvers during the acute phase of hospitalization, as well as medical therapy upon admission and discharge will be collected. A comprehensive transthoracic echocardiographic assessment (TTE) including 2-dimensional-speckle-tracking analysis of all cardiac chambers, and non-invasive calculation of myocardial work of the left and right ventricle will be performed during hospitalization. The first TTE will be performed within 24 hours from admission, and the second within 24 hours pre-discharge, to capture the trajectory and net variations of all echocardiographic indices of interest. Blood samples for biochemical analysis, including N-terminal pro-B-type natriuretic peptide plasma concentrations will be collected upon admission and prior to discharge.
Through this prospective registry, association of novel echocardiographic indices and their net changes during hospitalization with clinical and biochemical data, diverse HF phenotypes, therapeutic maneuvers, and response to treatment will be attempted, as a means to explore the pathophysiology of different HF phenotypes and ultimately provide individualized acute HF management guidance. The clinical value and prognostic implications of those echocardiographic indices will be investigated during follow-up.
Study Type
Enrollment (Estimated)
Contacts and Locations
Study Contact
- Name: Stylianos Daios, MD, MSc
- Phone Number: +30 6947529606
- Email: stylianoschrys.daios@gmail.com
Study Contact Backup
- Name: Vasileios Anastasiou, MD, MSc
- Phone Number: +30 6978223907
- Email: vasianas44@gmail.com
Study Locations
-
-
Central Macedonia
-
Thessaloníki, Central Macedonia, Greece, 54621
- Recruiting
- AHEPA University Hospital, Thessaloniki, Greece
-
Contact:
- Stylianos Daios, MD, MSc
- Phone Number: +30 6947529606
- Email: stylianoschrys.daios@gmail.com
-
Contact:
- Vasileios Anastasiou, MD, MSc
- Phone Number: +30 6978223907
- Email: vasianas44@gmail.com
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- Patients acutely admitted at the Department of Cardiology of AHEPA University General Hospital, Thessaloniki, Greece with symptoms and/or signs of heart failure (HF), as those are defined by the European Society of Cardiology.
- Patients with abnormal plasma concentration of N-terminal pro-B-type natriuretic peptide, measured within 24 hours from admission
- Objective echocardiographic evidence of cardiac structural and/or functional abnormalities consistent with the presence of left ventricular (LV) systolic dysfunction/diastolic dysfunction/raised LV filling pressures upon admission assessment
Exclusion Criteria:
- Symptoms and/or signs of HF secondary to congenital heart disease, infective endocarditis, pericardial disease, and history of recent cardiac surgery (<1 month)
- Patients receiving maintenance hemodialysis
- Patients with active malignancy and/or life expectancy < 1 year
- Poor echocardiographic acoustic windows precluding reliable assessment and/or analysis
- Heart transplantation
- Patients not providing informed written consent to participate in the study
Study Plan
How is the study designed?
Design Details
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
---|---|
Heart failure with reduced ejection fraction
Left Ventricular Ejection Fraction of ≤40%
|
Complete and comprehensive medical interview will be conducted in each eligible patient.
In addition, patient's laboratory data will be recorded on admission and pre-discharge.
Each patient will undergo a full echocardiographic examination with a specific protocol upon admission and pre-discharge.
This will include among others 2-dimensional speckle-tracking analysis of all cardiac chambers, and non-invasive calculation of myocardial work indices of the left and right ventricle.
|
Heart failure with mid-range ejection fraction
Left Ventricular Ejection Fraction of 41-49%
|
Complete and comprehensive medical interview will be conducted in each eligible patient.
In addition, patient's laboratory data will be recorded on admission and pre-discharge.
Each patient will undergo a full echocardiographic examination with a specific protocol upon admission and pre-discharge.
This will include among others 2-dimensional speckle-tracking analysis of all cardiac chambers, and non-invasive calculation of myocardial work indices of the left and right ventricle.
|
Heart failure with preserved ejection fraction
Left Ventricular Ejection Fraction of ≥50%
|
Complete and comprehensive medical interview will be conducted in each eligible patient.
In addition, patient's laboratory data will be recorded on admission and pre-discharge.
Each patient will undergo a full echocardiographic examination with a specific protocol upon admission and pre-discharge.
This will include among others 2-dimensional speckle-tracking analysis of all cardiac chambers, and non-invasive calculation of myocardial work indices of the left and right ventricle.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Relationship between different heart failure sub-groups and echocardiographic indices
Time Frame: 12 months
|
Conventional and novel echocardiographic parameters including among others left ventricular myocardial work indices, right ventricular myocardial work indices, 2-dimensional speckle-tracking analysis of all cardiac chambers.
|
12 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Relationship between therapeutic management of acute heart failure, laboratory profile, and net changes of echocardiographic indices
Time Frame: 12 months
|
Pharmacological and non-pharmacological therapeutic management of acute heart failure, duration of hospitalization, and laboratory profile with net variations of conventional and novel echocardiographic parameters including among others left ventricular myocardial work indices, right ventricular myocardial work indices, and 2-dimensional speckle-tracking analysis of all cardiac chambers.
|
12 months
|
Prognostic factors in acute and chronic heart failure
Time Frame: 12 months
|
Clinical, laboratory, and echocardiographic parameters including among others left ventricular myocardial work indices, right ventricular myocardial work indices, 2-dimensional speckle-tracking analysis of all cardiac chambers. Different units of measure in this outcome do not represent different outcome measures. All clinical, laboratory and echocardiographic measurements will be evaluated separately in their own unit of measurement to assess potential prognostic biomarkers in patients with heart failure. This does not render the measurement of each parameter a different clinical outcome. |
12 months
|
Relationship between clinical, laboratory, and echocardiographic biomarkers with short- and long-term prognosis of patients
Time Frame: 12 months
|
Clinical, laboratory, and echocardiographic parameters including among others left ventricular myocardial work indices, right ventricular myocardial work indices, 2-dimensional speckle-tracking analysis of all cardiac chambers.
|
12 months
|
Collaborators and Investigators
Investigators
- Study Director: Vasileios Kamperidis, MD, MSc, PhD, School of Medicine, Aristotle University of Thessaloniki
- Study Chair: Antonios Ziakas, MD, PhD, Information provided by (Responsible Party):
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 19/2022
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.
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