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Heart Failure clinical trials

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NCT ID: NCT05704595 Recruiting - Heart Failure Clinical Trials

Effectiveness of Outpatient Intravenous Diuretic Therapy for Treatment of Worsening Heart Failure (OUTPATIENT-WHF)

Start date: March 27, 2023
Phase: N/A
Study type: Interventional

The purpose of the OUTPATIENT-WHF study is to characterize the effectiveness of outpatient intravenous diuretic therapy as a treatment for worsening heart failure.

NCT ID: NCT05703620 Recruiting - Heart Failure Clinical Trials

REducing Sympathetic Activity Through Ultrasound-based Renal deneRvation in Excessive Cardiovascular Risk populaTions.

RESURRECT
Start date: October 8, 2021
Phase: N/A
Study type: Interventional

The is a non-randomized pilot trial, open-label evaluation of the physiologic response of native kidney denervation using the Paradise denervation system in CKD, End Stage Renal Disease (ESRD), and Heart failure (HF)

NCT ID: NCT05697211 Recruiting - Clinical trials for Anemia, Iron Deficiency

ORal IrON Supplementation With Ferric Maltol in Treating Iron Deficiency and Anaemia in Patients With Heart Failure (ORION-HF)

Start date: February 21, 2023
Phase: Phase 4
Study type: Interventional

This is an open-label, single arm, multicenter pilot-study to explore the safety, tolerability and efficacy of oral iron supplementation with ferric maltol in treating iron deficiency and anaemia in patients with heart failure.

NCT ID: NCT05696652 Recruiting - Heart Failure Clinical Trials

Identifying Markers of Exercise Training in Heart Failure

Start date: March 18, 2024
Phase: N/A
Study type: Interventional

The heart failure syndrome that occurs when the heart is too sick to properly do its job. One of the main symptoms is difficulty with exercise. One way to improve symptoms is to start patients in a 12 week exercise program called cardiac rehabilitation. Cardiac rehabilitation been shown to improve symptoms for heart failure patients. However, the investigators do not know exactly what exercise does to the molecules that make up the human body. If the investigators could answer this question, the investigators might find a whole new way to treat the symptoms of heart failure. Therefore the investigators want to know what molecules might be responsible for the benefits of exercise. The plan for this study is to measure the levels of thousands of proteins in blood samples which come from people with heart failure and see how those levels change after 12 weeks of cardiac rehabilitation, compared to the protein levels in patients whose cardiac rehabilitation is delayed until after the study period. If the investigators know the proteins that change with exercise, the investigators can then look to see if targeting these proteins with medicines can mimic the benefits of exercise. The long term goal of our work is to identify "exercise-in-a-pill" medicines that will help people with heart failure.

NCT ID: NCT05696522 Recruiting - Heart Failure Clinical Trials

Stereotactic Ablative Radiotherapy for the Treatment of Refractory Ventricular Tachycardia

SABRE-VT
Start date: January 21, 2023
Phase: N/A
Study type: Interventional

Ventricular tachycardia (VT) is an abnormal rhythm arising from the bottom chambers (ventricles) of the heart. The hearts of most patients who develop VT have been previously damaged by a myocardial infarction (heart attack) or other heart muscle diseases (cardiomyopathies). The damage produces scar or fatty deposits that conduct electrical impulses slowly allowing VT to occur. Recurrent episodes of VT can compromise heart function and increase mortality. VT is prevented by special drugs but these are not always effective and can have many side effects. Most patients with VT will also have a specialised device called an implantable defibrillator (ICD) implanted. The ICD treats VT by either stimulating the heart rapidly or delivering a shock to it. ICDs are very effective but the shocks are painful and have a big impact on quality of life. If VT occurs despite optimal drug treatment, patients undergo an invasive procedure called catheter ablation. Here, wires are passed into the heart from the blood vessels in the leg and the damaged heart muscle causing the VT is identified whilst the heart is in VT. An electrical current is passed down the wire making its tip heat up allowing discrete burns (ablation) to be placed inside the heart. The ablated heart muscle doesn't conduct electricity which stops the VT and prevents it recurring. Some patients are so frail that ablation cannot be performed safely. A recent clinical trial has shown that VT can be treated in such patients using radiotherapy, which is usually used to treat tumours with high energy radiation. This approach is non-invasive, painless and requires no sedation or anaesthesia. This study will test whether VT can be successfully treated using stereotactic ablative radiotherapy. This can deliver high dose radiotherapy very precisely, whilst minimising the risk of damage to healthy tissues.

NCT ID: NCT05694572 Recruiting - Heart Failure Clinical Trials

Post-market Surveillance of Micorport CRM Cardiac Implantable Electronic Devices

PIANO
Start date: October 30, 2023
Phase:
Study type: Observational [Patient Registry]

The primary objective of the study is to assess the chronic safety of MicroPort CRM market-released systems.

NCT ID: NCT05689086 Recruiting - Clinical trials for Heart Failure With Reduced Ejection Fraction

A Virtual Heart Failure Optimization Program for Guideline Directed Medical Therapy and Cardiac Rehabilitation

Start date: January 1, 2020
Phase:
Study type: Observational

The goal of this study is to test the impact of a virtual heart failure optimization program on uptake of guideline directed medical therapy, participation in cardiac rehabilitation & impact on echocardiographic parameters.

NCT ID: NCT05687058 Recruiting - Heart Failure Clinical Trials

Empagliflozin in ESKD - A Feasibility Study

Start date: November 1, 2023
Phase: Phase 1/Phase 2
Study type: Interventional

The aim of this study is to learn about the safety of empagliflozin in dialysis patients as a preparation for a future large clinical trial. Empagliflozin has been approved by the Food and Drug Administration for the treatment of either type 2 diabetes, heart failure, or chronic kidney disease among patients not on dialysis. The use of empagliflozin has not been studied or approved among patients on dialysis for kidney failure because empagliflozin acts on the kidneys. However, recent experimental studies have indicated that empagliflozin may provide direct heart benefits. Some dialysis patients have substantial residual kidney function, which may be protected by empagliflozin. Participants will be given empagliflozin for three (3) months on top of the standard of care (usual medical care for participants' condition) and will be followed up until one (1) month after the last dose. The investigators will collect information about participants' general health, obtain blood, urine, and imaging studies, check home blood pressure, monitor home blood sugar levels, and ask health-related questions to assess the safety and potential benefits of empagliflozin over four (4) months, including one month before the three (3)-month empagliflozin treatment.

NCT ID: NCT05686317 Recruiting - Heart Failure Clinical Trials

ALT-FLOW II Trial of the Edwards APTURE Transcatheter Shunt System

ALT-FLOW II
Start date: April 1, 2023
Phase: N/A
Study type: Interventional

This is a prospective, multi-center, randomized, sham-controlled clinical trial.

NCT ID: NCT05686057 Recruiting - Heart Failure Clinical Trials

sST2 Biomarker Level in Acute/Chronic Coronary Syndrome After Revascularization

ST2
Start date: March 1, 2022
Phase:
Study type: Observational

The role of soluble circulating suppression of tumorigenicity 2 biomarker (sST2) in the ischemic heart disease patient is a debatable point. Therefore the aims of this study are to assess the plasma level of sST2 in ischemic heart disease patients versus non-ischemic ones, the acute changes in its level after percutaneous coronary intervention (PCI) and its relation to the severity of ischemia.