Short-Term Outcomes of HFrEF Patients on Guideline-Directed Medical Therapy

Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexAll
Age18+
SponsorAssiut University

About this trial

This prospective cohort study aims to evaluate short-term (3-month) clinical, renal, and functional outcomes in patients with heart failure with reduced ejection fraction treated with contemporary guideline-directed medical therapy at Assiut University Hospitals.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

- Age 18 years or older

Diagnosis of chronic HFrEF (LVEF ≤40%) documented by echocardiography

Stable on or planned initiation of guideline-directed medical therapy

Ability to provide informed consent

Disqualifiers

- Acute decompensated heart failure requiring intravenous inotropes at enrollment

End-stage renal disease on dialysis

eGFR <20 mL/min/1.73 m² at baseline

Severe primary valvular disease requiring intervention

Trial population

Adult patients with chronic heart failure with reduced ejection fraction (LVEF ≤40%) attending the Cardiovascular Department of Assiut University Hospitals.

Trial design

Design model

Cohort

Time perspective

Prospective

Treatments tested in this trial

Not listed

Trial groups

250 Participants
are grouped into 1 trial group
Group A: Single cohort: Patients with HFrEF on GDMT

Trial outcomes

Primary outcomes

1

Change in left ventricular ejection fraction

Change in left ventricular ejection fraction (LVEF) percentage measured by transthoracic echocardiography from baseline to 3 months.

Time frame
From baseline to 3 months

Secondary outcomes

1

Change in KCCQ-12 score

Change in Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) total score from baseline to 3 months. The KCCQ-12 score ranges from 0 to 100; higher scores indicate better health status and quality of life.

Time frame
From baseline to 3 months
2

Change in eGFR

Change in estimated glomerular filtration rate (eGFR, mL/min/1.73 m²) calculated by CKD-EPI equation from baseline to 3 months.

Time frame
From baseline to 3 months
3

Hospitalization for worsening heart failure

Proportion of patients requiring hospitalization for worsening heart failure.

Time frame
Up to 3 months
4

Cardiovascular mortality

Proportion of patients who die from cardiovascular causes.

Time frame
Up to 3 months

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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