Acute Heart Failure Study in Patients Admitted to Emergency Department for Dyspnea

Study Overview
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Brief Summary
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No studies have analyzed the predictive value of different anamnestic and clinical signs for the diagnosis of acute heart failure (AHF) in patients admitted to emergency department. That's why the expert group of the AHF of South West of France mobilizes to conduct this study to evaluate the diagnostic predictive value of different anamnestic and clinical signs for the diagnosis of AHF to emergencies.

Detailed Description
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There is no recommendation of the French Society of Emergency Medicine (SFMU) on the management of the acute heart failure in the emergency department. The present study hypothesizes that identifying anamnestic and clinical criteria of AHF in patients admitted to emergency department for acute dyspnea would optimize the management of these patients upon arrival to the emergency department and to implement rapidly the appropriate therapeutic strategies. All patients admitted for dyspnea will be enrolled by the emergency physicians (after verification of inclusion and exclusion criteria) in the 3 participating centers. Then, all files will be analyzed retrospectively from information collected by a committee of experts cardiologists and emergency physicians of each center. The primary objective is the evaluation of diagnostic predictive value of different anamnestic and clinical signs for the diagnosis of AHF in emergency department for the construction of a clinical prediction score of acute heart failure. The secondary objective is the description of the diagnostic and therapeutic management of patients admitted to the emergency for acute dyspnea.

Official Title
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Predictive Criteria of Acute Heart Failure (AHF) in Patients Admitted to Emergency Department for Dyspnea.

Conditions
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Heart Failure

Intervention / Treatment
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* Other: Data collection


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients ≥ 18 years Admitted to emergency department for acute dyspnea Exclusion Criteria: Traumatic dyspnea shock / Systolic blood pressure <90 mmHg

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Other: Data collection|Usual data collection|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| diagnosis of AHF after expertise | The final diagnosis of AHF after expertise of patients records by a committee of experts cardiologists and emergency physicians. | 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Diagnostic and therapeutic management of patients admitted to the emergency for acute dyspnea | The secondary objective is the description of the diagnostic and therapeutic management of patients admitted to the emergency for acute dyspnea | Baseline | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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acute heart failure, dyspnea, predictive value