Heart Failure Clinical Trial
Mobile Technology-Based System for Patient Engagement and Physician-Directed Remote Management of Heart Failure
Summary
This pilot study is to assess the feasibility, preliminary utility and acceptance of a digital technology-based system for heart failure management.
Full Description
Heart failure continues to be a major public health problem. High-value, guideline-directed medical therapies (GDMT) for heart failure can reduce mortality and improve quality of life. However, large gaps in treatment with GDMT persist. While prior quality improvement efforts have focused on heart failure hospitalizations, there is a critical need to improve the quality-of-care post-discharge when the initiation and up-titration of GDMT is critical to optimizing outcomes. The main purpose of this pilot study is to assess the feasibility, preliminary utility and acceptance of a digital technology-based system for heart failure management.
Eligibility Criteria
Inclusion Criteria:
Age ≥ 18
Diagnosis of heart failure
Most recent left ventricular ejection fraction ≤ 40% in the prior year based on echocardiogram, MRI, CT, or nuclear perfusion
Primary cardiologist enrolled in the study
Currently admitted with upcoming discharge or discharged from hospital within the prior 2 weeks
At least two eligible heart failure therapies (guideline-recommended BB, RASI, MRA, or SGLT2i) not yet initiated or on ≤ 50% of target dose
Exclusion Criteria:
Receives dialysis
Inotropic therapy during hospitalization
History of heart transplant or actively listed on heart transplant waiting list
History of left ventricular assist device implantation
Cardiac amyloidosis
Pregnant or currently trying to be pregnant
Life expectancy estimated less than 6 months related to non-cardiac comorbidities as per investigator's judgement
Actively enrolled in hospice or comfort care
Currently participating in an investigational device or drug study or having participated in such a study within 30 days prior to screening
Subject or their caregiver without a smartphone
Subject or their caregiver not proficient with written and spoken English
Subject unavailable to complete all study procedures (e.g., interviews) to the best of the subject and investigator's knowledge
Any other disorder or condition that, in the opinion of the investigator would pose a risk to subject safety or interfere with the study evaluation, procedures or completion
Subject has diminished decision-making capacity
Planned discharge to skilled nursing facility
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There is 1 Location for this study
Stanford California, 94305, United States More Info
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