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Heart Failure clinical trials

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NCT ID: NCT05649787 Recruiting - Clinical trials for Heart Failure With Preserved Ejection Fraction

Effects of a Supervised Training Program on Functional Capacity in Patients With HFpEF and Chronotropic Incompetence

Training-HR
Start date: January 18, 2023
Phase: N/A
Study type: Interventional

This is a prospective study, blinded for the evaluator, randomized (1:1:1:1) to receive standard management alone or combined with a program of training (aerobic alone or combined with strength exercises) that will be carried out in a single centre. After randomization, patients will be clinically evaluated. The primary endpoint (peakVO2) will be assessed by cardiopulmonary exercise testing (CPET) at 12 weeks. Patients with heart failure with preserved ejection fraction, functional class NYHA II-III, and chronotropic incompetence criteria will be enrolled. A sample size estimation [alfa: 0.05, power: 80%, a 15% loss rate, and at least a delta change of mean peakVO2: +2,4 mL/kg/min (SD±2)] of 80 patients (20 per arm) would be necessary to test our hypothesis.

NCT ID: NCT05647213 Recruiting - Clinical trials for Congenital Heart Disease

Autologous Induced Pluripotent Stem Cells of Cardiac Lineage for Congenital Heart Disease

Start date: February 3, 2023
Phase: Phase 1
Study type: Interventional

The goal of this clinical trial is to test the safety of lab-grown heart cells made from stem cells in subjects with congenital heart disease. The main questions it aims to answer are: - Is this product safe to deliver to humans - Is the conduct of this trial feasible Participants will be asked to: - Agree to testing and monitoring before and after product administration - Receive investigational product - Agree to lifelong follow-up Researchers will compare subjects from the same pool to see if there is a difference between treated and untreated subjects.

NCT ID: NCT05646849 Recruiting - Heart Failure Clinical Trials

Using a Connected Application to Maintain Physical Activity After Cardiac Rehabilitation

APA&CO2
Start date: January 12, 2023
Phase: N/A
Study type: Interventional

Maintaining physical activity after cardiac rehabilitation has a major role in disease progression and patient prognosis. 6 months after the cardiac rehabilitation, we find during a nursing interview that many patients do not maintain regular physical activity. 1 year after cardiac rehabilitation, between 30% and 60% of patients do not maintain the recommendations in terms of physical activity. It is recommended to perform studies evaluating the effectiveness of new technologies in the fight against non-compliance recommendations for physical activity. That is why, study the interest of using an application connected post-cardiac rehabilitation seems necessary to fight against dropouts in terms of physical activity.

NCT ID: NCT05646407 Recruiting - Heart Failure Clinical Trials

Move With Air: Exercise Training Study

Start date: April 1, 2023
Phase: N/A
Study type: Interventional

The purpose of this study is to explore the role of a stream of cool air to the face, through fan-to-face therapy, as a novel adjunct non-pharmacological therapy to enable symptomatic adults with cardiopulmonary disease to exercise at higher intensities for longer durations and maximize the psycho-physiological benefits of a supervised exercise training program. The investigators hypothesize that, compared to no fan, fan-to-face therapy will result in relatively greater improvements in exercise endurance time and intensity ratings of perceived breathlessness during constant-load cardiopulmonary exercise testing on a treadmill at 75% of peak power output following a 5-week exercise training period.

NCT ID: NCT05646251 Recruiting - Heart Failure Clinical Trials

Intra-procedural Transthoracic EChocardiogram to Facilitate Left Bundle Branch Area Pacing (LBBAP)

EC-LBBAP
Start date: March 1, 2023
Phase: N/A
Study type: Interventional

The goal of this observational study is to learn more about whether or not the use of heart ultrasound during pacemaker implantation is helpful. The main questions this aims to answer are: 1. Does this help the doctors with figuring out the wire location during implantation? 2. Does this reduce the wire placement procedure time? 3. Does this reduce the x-ray imaging time during the procedure? Participants will be asked to: 1. Have a physical exam and Echocardiogram (ECG) at initial visit, 2 weeks post implant, and 3 months post implant. 2. Have a urine pregnancy test (if applicable) 3. Have a heart ultrasound during implant procedure 4. Answer questions related to heart failure symptoms to see what stage of heart failure is present 5. Have device interrogation (a wand placed over the chest to see that the device is working properly) at a visit 2 weeks post implant and at 3 months post implant.

NCT ID: NCT05646056 Recruiting - Heart Failure Clinical Trials

A Noninterventional, Single-Center Feasibility Study to Evaluate Measures of Heart Failure Risk

Start date: October 28, 2022
Phase:
Study type: Observational

This is a non-invasive/observational study in healthy and mild HF subjects utilizing clinical and ambulatory measurements to improve detection, monitoring, and management of HF risks.

NCT ID: NCT05642507 Recruiting - Clinical trials for Heart Failure With Reduced Ejection Fraction

Phase Ib/IIa Trial With AC01 in Patients With HFrEF

GOAL-HF1
Start date: February 23, 2023
Phase: Phase 1/Phase 2
Study type: Interventional

This is a randomized, double-blind, placebo-controlled two-part study with a multiple escalating dose phase followed by a cohort expansion phase to assess safety, tolerability, pharmacokinetics and pharmacodynamics of AC01 in patients with heart failure with reduced ejection fraction (HFrEF).

NCT ID: NCT05641662 Recruiting - Clinical trials for Cardiovascular Diseases

Effects of Exergaming to Reduce Sedentary Time in Inactive Patients With Heart Failure

Heart-eXg
Start date: May 16, 2022
Phase: N/A
Study type: Interventional

The goal of this to determine the effect of tailored exergaming for inactive patients with heart failure to reduce their sedentary time, improve their daily physical activity, exercise capacity, decrease frailty and improve health-related quality of life. Participants will, on a background of standard guideline-directed medical therapy patients, be randomised to tailored activity advice (control) or the Heart-Exergame (Heart-eXg) intervention for a period of 3 months. Patients randomised to the Heart-eXg group will receive an exergame with feedback and tailoring to adapt the exergaming advice. Patients will also be able to play with a person in their own network.

NCT ID: NCT05638230 Recruiting - Clinical trials for Heart Failure, Diastolic

Relative Importance of Cardiovascular Risk Factors and Echocardiographic Parameters Affecting Left Atrial Strain

RICH-LAST
Start date: August 1, 2021
Phase:
Study type: Observational [Patient Registry]

The goal of this observational study is to learn about left atrial reservoir strain in patients with heart failure with preserved ejection fraction. The main questions it aims to answer are: - Usefullness of LARS as a predictor of high HFA-PEFF diagnostic algorithm scores (≥5) - The relative importance of LARS in variables including each component of HFA-PEFF and traditional cardiovascular risk factors.

NCT ID: NCT05637853 Recruiting - Clinical trials for Heart Failure With Reduced Ejection Fraction

Telemonitored Fast Track Medical Sequencing for Heart Failure With Reduced Ejection Fraction

TELE-FASTER
Start date: October 22, 2022
Phase:
Study type: Observational [Patient Registry]

Research hypothesis: Fast telemonitored medical sequencing in patients with heart failure with reduced ejection fraction (HFrEF) is safe and feasible. Background: Modern therapy for HFrEF offers a highly effective arsenal of drugs, devices and interventional therapies, yet mortality and morbidity remain high in the cohort. One major problem is that drug therapy introduction and up titration has been very hard to implement in a majority of HFrEF patients. Most previous telemonitoring studies have focused on the continuous monitoring of patients and the monitoring itself has been the main intervention. A potentially more effective way to use telemonitoring in heart failure patients may be to combine the technique with a medical intervention when the patients are most vulnerable to heart failure events. The best therapeutic window lies in the period after newly diagnosed heart failure or right after a recent hospitalization following worsened chronic HFrEF. Method: We aim to use telemonitoring for fast sequencing of heart failure drugs for patients with HFrEF.