Guided Placement of CRT-Leads
Heart FailureIn this open, prospective, randomized, parallel group, German-American, two-center, Phase I study the standard-approach CRT-implantation will be compared to a guided CRT-implantation after determining the site of latest contraction and placement of the electrode as close as possible to this site, using a 5-step-scheme of imaging methods determining the site of latest contraction prior to implantation.
Study of Sildenafil in Patient With Heart Failure.
Congestive Heart FailureThe purpose of this study is to determine if sildenafil (Viagra) improves exercise tolerance.
Treatment of Severe Heart Failure by Ultrafiltration
Severe Congestive Heart FailurePatients with severe congestive heart failure show increased fluid body content which is often resistant to conventional diuretic therapy. Therefore, chronic heart failure patients have frequent access to the emergency room and hospital for hemodynamic instability. Ultrafiltration is a simple renal replacement therapy which reduces fluid overload. The purpose of this study is to determine whether periodic ultrafiltration sessions maintain patients in stable clinical condition and reduce hospitalisations as well as access to emergency heart failure treatment.
Study to Evaluate Potential Decrease in Hospitalization Events, Time Between Events, and Increasing...
Heart FailureThis is a multicenter study to evaluate potential decrease in hospitalization events and time between events and increasing longevity in patients with symptomatic congestive heart failure and intolerant of first-line medication for heart failure. This study will evaluate if higher doses of the investigational drug given daily will be superior to the lower dose of the same investigational drug given daily.
A Study of Repeat-Dose Subcutaneous Darbepoetin Alfa in Subjects With Congestive Heart Failure and...
AnemiaCongestive Heart FailureThe purpose of this study is to evaluate the single dose pharmacokinetics (PK) of subcutaneous (SC) darbepoetin alfa in subjects with congestive heart failure (CHF) and anemia.
Compassionate Use Study of 125 mg Per Day of Azimilide Dihydrochloride in One Patient
Congestive Heart FailureThis is an open-label, long term compassionate use study of 125 mg per day of azimilide 2HCl in a patient who completed two other protocols (2000098 and 2001060.
Effect of Exercise-based Rehabilitation on Circulatory Functions in Patients With Diastolic Heart...
Heart FailureThe purpose of this study is to investigate how exercise-base rehabilitation influences circulatory functions in patients with diastolic heart failure (DHF).
The VALIDATE Study of Valsartan for Patients With Early Stage Heart Failure
HypertensionCongestive Heart FailureThis is a study to evaluate the response of patients with hypertension and early stage heart failure to valsartan.
Nutritional Intervention in Malnourished Patients With Chronic Heart Failure
Heart FailureMalnutritionMalnutrition is common in patients with heart failure (HF) and is associated with a worse prognosis. However, there is little information on the impact of nutritional intervention in malnourished patients with heart failure. Therefore, the aim of our study is to evaluate whether a specific nutritional intervention has an impact on mortality and hospitalizations, quality of life, nutritional status, and functional capacity in patient with heart failure and malnutrition.
Improving HF Treatment and GDMT in IHS
Heart FailureHeart failure causes significant morbidity and mortality, particularly in Navajo Nation. There are well-established evidence of improved mortality and lower heart failure hospitalizations with certain pharmacotherapies for heart failure with reduced ejection fraction (HFrEF). However, these medications are underutilized nationally, including in the Indian Health Service which is one important driver of poor heart failure outcomes. Therefore, as part of an EHR-based pragmatic clinic trial, we are implementing and testing a model that identifies American Indian HFrEF patients receiving care at one large Indian Health Service Site who meet clinical criteria for, but are not on appropriate therapy, and implement a model in which our study team will get patients on appropriate therapy through tele monitoring. We will evaluate the impact of this model to improve uptake of GDMT among HFrEF patients.