Congestive Heart Failure Clinical Trial
Official title:
Lyon and Rhône Alpes Auvergne Registry of Congestive Heart Failure
This is a prospective cohort study of patients with Heart Failure with an eighteen-month
follow-up aimed to collect all demographic, clinical, biological and para-clinical data to
study population characteristics, assess prognosis markers and occurrence of HF treatment
side effects.
Congestive Heart failure is a frequent pathology and its prevalence increases with age. Its
prognosis stays pejorative despite years of major therapeutical progress. In recent trials,
all-cause mortality rates at 1-year reach up to 20% and 50% at 5 years.
Medical care of congestive heart failure is based on precise international recommendations.
The association of Beta-Blockers, renin-angiotensin system blockers, mineralocorticoid
receptor antagonists, represent the basis of the pharmacological treatment.
Cardiac resynchronization treatment and implantable cardioverter-defibrillator are additional
efficient treatments that reduce events in appropriately selected patients.
Despite these improvements, the prognostic of congestive heart failure in registers is worse
than those observed in randomized trials. This can be explained by differences in congestive
heart failure patient populations and/or by a less rigorous medical care where treatments are
not optimized.
The evaluation of medical care in congestive heart failure is today of utmost importance.
Integrating new pharmacological molecules, medical devices and the application of new
recommendations have major interest for documentation and practical changes.
The main objective of this cohort will be to evaluate the evolution of the 12-month quality
of life score of a HF patient and the characteristics and treatments associated with it.
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