About this trial
The purpose of this study is to analyze the utility of a novel five-point ultrasound as a predictor of volume overload in diverse patients who are admitted with volume overload/congestive heart failure (CHF) exacerbation at Boston Medical Center (BMC), the largest safety-net hospital in New England. Current standard of care (SOC) involves the utilization of laboratory markers and physical exam, which is often inconsistent and equivocal. The investigators will assess will assess if ultrasound-assisted diuresis reduces recurrent episodes of volume overload/decompensated heart failure.
Eligibility criteria
Qualifiers
Patient with a primary diagnosis of acute on chronic decompensated heart failure who is admitted to inpatient or presents to the outpatient Boston Medical Center (BMC) Heart Failure Infusion clinic for decongestion treatment.
Willing and able to receive short abdominal and thoracic ultrasounds throughout hospitalization
Patients with right and/or left ventricular failure
Disqualifiers
Hemodynamic instability defined as systolic blood pressure <85 mmHg or mean arterial pressure <60 mm Hg for greater than 24 hours duration
Abdominal surgery in the past 1 month
Significant acute or chronic liver disease
End stage renal disease on dialysis
Trial design
Treatments tested in this trial
- Five-point ultrasound
- Standard of care