A Study to Evaluate Lung Ultrasound as a Method to Measure Changes in Extravascular Lung Water Induced by Positional Changes (LUPE) (LUPE)
Acute Decompensated Heart Failure
About this trial
This is an interventional basic science trial for Acute Decompensated Heart Failure
Eligibility Criteria
Inclusion Criteria:
Hospitalized for the management of acute decompensated heart failure
Reached at least a 12-hour period after hospital admission
Presence of peripheral edema with a score of at least 1+ (slight pitting in both ankles; 2mm or less depression that disappears rapidly)
Able to lie supine with no more than one pillow (approximately a 10 cm head elevation) without dyspnea for at least 30 minutes by patient report
Have not received treatment with any intravenous loop diuretic within the 4 hours prior to initiating study assessments and with no plans for additional intravenous treatment during the series of lung ultrasound measurements
Exclusion Criteria:
Persistent uncontrolled hypertension (resting systolic blood pressure > 160 mmHg)
Significant lung disease including severe chronic obstructive pulmonary disease (See concomitant medication exclusions), pulmonary fibrosis, active asthma or acute pneumonia
Use of medications specified for the treatment of COPD including short- and long-acting bronchodilators (β-agonists and anticholinergics) and inhaled glucocorticoids as well as oxygen therapy
Use of another investigational product in a clinical study within the following time period prior to the first administration of study medication: 30 days, 5 half-lives or twice the duration of the biological effect of the investigational product (whichever is longer)
Sites / Locations
- University of Pennsylvania
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Stable ADHF patients
Control Patients
Lung ultrasound to access b lines
Patients without any cardiopulmonary disease will be control patients for the active subjects, age-matched accordingly.