The Effect of Semi Fowler 30' Right Lateral on Cardiac Output in Acute Heart Failure

Study Overview
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Brief Summary
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Heart failure is a special clinical syndrome such as difficulty breathing, fatigue, and swollen legs characterized by increased JVP, crackle lung sounds, and peripheral edema caused by heart disorders both structural and/or functional, resulting in decreased cardiac output and increased intracardiac pressure at rest and activity. Body positioning has been shown to affect stroke volume and parasympathetic modulating activity. The right lateral 30 semifowler position is a very safe position in heart failure patients admitted to the ICU. Although body positioning can affect stroke volume, and parasympathetic modulation, it is not yet clear what effect it has on cardiac output

Official Title
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The Effect of Semi Fowler 30' Right Lateral on Cardiac Output in Acute Heart Failure

Conditions
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Cardiac Output, High, Heart Failure, Pulmonary Edema With Heart Failure, Dyspnea; Cardiac, Arrythmia

Intervention / Treatment
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* Behavioral: Semifowler 30' Right Lateral Body Position


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: The patient was diagnosed with acute decompensated heart failure, fully conscious, not intubated, >18 years old, had no mobility problems, palpable radial artery pulsation, was not under the influence of anti-hypotensive drugs, willing to be a respondent, LVEF <50%. Exclusion Criteria: Pulmonary edema, severe valve disease comorbidities, receiving high doses of anti-hypotensive treatment, heart failure readmission in the last 3 months, finger edema, use of mechanical circulatory support, irregular rhythms, artificial pacemaker attached, peripheral perfusion disorders.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 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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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Semi-fowler 30 Right Lateral<br> | Behavioral: Semifowler 30' Right Lateral Body Position<br>* Semifowler 30' Right Lateral Body Position Is a regulation of body position by placing the patient's body in a semi-fowler and lateral resting position of 30 degrees<br>|
| Active Comparator: Conventional care<br> | Behavioral: Semifowler 30' Right Lateral Body Position<br>* Semifowler 30' Right Lateral Body Position Is a regulation of body position by placing the patient's body in a semi-fowler and lateral resting position of 30 degrees<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cardiac Output | The amount of blood volume pumped by the heart for 1 minute in liters | 15 Minutes | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Right Lateral Body Position, Cardiac Output, Heart Failure, Body Positioning, Semifowler