Liver Function Abnormalities in Patients With Acute Heart Failure

NCT ID: NCT06491628

Last Updated: 2024-07-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-07-01

Study Completion Date

2025-08-31

Brief Summary

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The aim of this study is to evaluate liver function test abnormalities and to identify associated cardiac and non cardiac factors mediating hepatic impairment in acute heart failure patients

Detailed Description

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Cardiac failure has a negative impact on the function of all parenchymatous organs, based both on the low organ perfusion in the left-sided failure and on the venous congestion in the right-sided failure.

The pathophysiology of acute heart failure (AHF) is complex and not fully understood. It has been hypothesized that an episode of acute decompensation affects not only the cardiovascular system itself, but may also deteriorate the function of other organs, c ausing serious clinical consequences. Liver involvement has been mostly described and investigated in patients with chronic HF.

Liver enzyme alterations are usually classified as relating predominantly to liver cell necrosis (signified by transaminase elevations) or predominantly to cholestasis (signified by elevated alkaline phosphatase (AP) level).

Conditions

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Acute Heart Failure

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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Acute decompensated heart failure (de novo or as decompensation of chronic heart failure)

This umbrella term includes patients presenting forthe first time with typical symptoms and signs of heart failure(de novo AHF) and also those with worsening of their pre-existing cardiomyopathy (acute decompensated heart failure).

Avoiding the risk factors

Intervention Type BEHAVIORAL

Exercise, Salt and lipid reduction in diet, smoking cessation

Pulmonary edema

It's the real clinical presentation of AHF, typically, signs and symptoms develope rapidly and patients demonstrate severe respiratory distress with tachypnea, orthopnea and pulmonary congestion

Avoiding the risk factors

Intervention Type BEHAVIORAL

Exercise, Salt and lipid reduction in diet, smoking cessation

Hypertensive acute heart failure

the condition is associated with elevated blood pressure with accompanying dyspnea. orthopnea and pulmonary congestion, often in patients with relatively preserved left ventricle ejection fraction

Avoiding the risk factors

Intervention Type BEHAVIORAL

Exercise, Salt and lipid reduction in diet, smoking cessation

cardiogenic shock

severe peripheral hypoperfusion wih subsequent end organs damage,typically it's associated with low blood pressure and low urine output

Avoiding the risk factors

Intervention Type BEHAVIORAL

Exercise, Salt and lipid reduction in diet, smoking cessation

Acute coronary syndrome complicated by heart failure

characterized by complex structural, hemodynamic and neurohormonal interaction need urgent referral for coronary intervention poor outcome

Avoiding the risk factors

Intervention Type BEHAVIORAL

Exercise, Salt and lipid reduction in diet, smoking cessation

Interventions

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Avoiding the risk factors

Exercise, Salt and lipid reduction in diet, smoking cessation

Intervention Type BEHAVIORAL

Eligibility Criteria

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Inclusion Criteria

* patients aged 18 yrs or older presenting with AHF

Exclusion Criteria

* Congenital heart disease
* acute and chronic liver diseases
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sohag University

OTHER

Sponsor Role lead

Responsible Party

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Sara Mohamed Saber

Liver function abnormalities in patients with acute heart failure in Sohag University Hospitals

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hamdy Saad

Role: STUDY_CHAIR

Sohag University

Haitham Mohammad

Role: STUDY_CHAIR

Sohag University

Locations

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Sohag university

Sohag, , Egypt

Site Status

Countries

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Egypt

Central Contacts

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Sara Mohamed

Role: CONTACT

+201117517685

Hassan Ahmed

Role: CONTACT

+201003459741

Other Identifiers

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LFTs abnormalities in AHF

Identifier Type: -

Identifier Source: org_study_id

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