[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100631360":3},{"organization":4,"armGroups":7,"interventions":17,"overallOfficials":23,"centralContacts":28,"locations":37,"responsibleParty":179,"collaborators":11,"id":181,"slug":182,"hasResults":183,"nctId":184,"briefTitle":185,"officialTitle":186,"acronym":187,"eligibilityCriteria":188,"healthyVolunteers":183,"sex":189,"minAge":190,"maxAge":11,"enrollmentInfo":191,"targetDuration":11,"studyType":194,"phases":195,"briefSummary":197,"conditions":198,"keywords":202,"overallStatus":204,"whyStopped":11,"lastUpdateSubmitDate":205,"lastUpdatePostDateStruct":206,"startDateStruct":209,"completionDateStruct":211,"leadSponsor":213,"locationsCount":214},{"fullName":5,"class":6},"University Hospital, Angers","OTHER_GOV",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Interventional arm","EXPERIMENTAL",null,[13],"Diagnostic Test: Systematic screening for pulmonary embolism in all patients using a guideline-recommended diagnostic algorithm",{"label":15,"type":16,"description":11,"interventionNames":11},"Observational arm","NO_INTERVENTION",[18],{"type":19,"name":20,"description":21,"armGroupLabels":22,"otherNames":11},"DIAGNOSTIC_TEST","Systematic screening for pulmonary embolism in all patients using a guideline-recommended diagnostic algorithm","In intervention centers, physicians will systematically screen all patients for pulmonary embolism (PE) using guideline-recommended algorithms. The revised Geneva score will be assessed for each patient. If clinical probability is low or moderate (≤10), highly sensitive D-dimer testing will be performed. PE will be excluded if D-dimer levels are below 500 µg\u002FL (under 50 years) or below the age-adjusted threshold (age × 10 µg\u002FL for patients ≥50 years).\n\nFor patients with elevated D-dimers or high clinical probability, a 4-point compression venous ultrasound will be performed. If positive, PE will be confirmed. If negative or inconclusive, CT pulmonary angiography will be conducted. All diagnostic procedures must be completed within 48 hours of admission.",[9],[24],{"name":25,"affiliation":26,"role":27},"Delphine Douillet, Professor","University Hospital of Angers, France","PRINCIPAL_INVESTIGATOR",[29,33],{"name":25,"role":30,"phone":31,"phoneExt":11,"email":32},"CONTACT","+33 (0)2 41 35 36 27","Delphine.Douillet@chu-angers.fr",{"name":34,"role":30,"phone":35,"phoneExt":11,"email":36},"Matthieu Le Lay","+33 (0)2 41 35 58 91","DRCI-Promotion-Interne@chu-angers.fr",[38,55,67,81,95,109,123,137,151,165],{"facility":39,"status":11,"city":40,"state":11,"zip":41,"country":42,"countryCode":43,"cosmosGeoPoint":44,"geoPoint":49,"contacts":50},"Agen Hospital, Emergency department","Agen","47923","France","FR",{"type":45,"coordinates":46},"Point",[47,48],0.62055,44.20199,{"lat":48,"lon":47},[51],{"name":52,"role":30,"phone":53,"phoneExt":11,"email":54},"Maë Adrian, Doctor","+33 (0)5.53.69.73.18","adrianm@ch-agen-nerac.fr",{"facility":56,"status":11,"city":57,"state":11,"zip":58,"country":42,"countryCode":43,"cosmosGeoPoint":59,"geoPoint":63,"contacts":64},"Angers University Hospital, Emergency Department","Angers","49000",{"type":45,"coordinates":60},[61,62],-0.55202,47.47156,{"lat":62,"lon":61},[65],{"name":25,"role":30,"phone":66,"phoneExt":11,"email":32},"+33 (0)2.41.35.36.27",{"facility":68,"status":11,"city":69,"state":11,"zip":70,"country":42,"countryCode":43,"cosmosGeoPoint":71,"geoPoint":75,"contacts":76},"Brest University Hospital (site Cavale Blanche), Cardiology Department","Brest","29200",{"type":45,"coordinates":72},[73,74],-4.48628,48.39029,{"lat":74,"lon":73},[77],{"name":78,"role":30,"phone":79,"phoneExt":11,"email":80},"Romain Didier, Professor","+33 (0)2.98.34.73.92","romain.didier@chu-brest.fr",{"facility":82,"status":11,"city":83,"state":11,"zip":84,"country":42,"countryCode":43,"cosmosGeoPoint":85,"geoPoint":89,"contacts":90},"Tours University Hospital (site Trousseau), Adult Emergency Department","Chambray-lès-Tours","37170",{"type":45,"coordinates":86},[87,88],0.70286,47.33537,{"lat":88,"lon":87},[91],{"name":92,"role":30,"phone":93,"phoneExt":11,"email":94},"Thomas Moumneh, Doctor","+33 (0)2.47.47.47.47","t.moumneh@chu-tours.fr",{"facility":96,"status":11,"city":97,"state":11,"zip":98,"country":42,"countryCode":43,"cosmosGeoPoint":99,"geoPoint":103,"contacts":104},"Cholet Hospital, Emergency Department","Cholet","49300",{"type":45,"coordinates":100},[101,102],-0.87974,47.05893,{"lat":102,"lon":101},[105],{"name":106,"role":30,"phone":107,"phoneExt":11,"email":108},"Violette Boiveau, Doctor","+33 (0)2.41.49.69.85","violette.boiveau@ch-cholet.fr",{"facility":110,"status":11,"city":111,"state":11,"zip":112,"country":42,"countryCode":43,"cosmosGeoPoint":113,"geoPoint":117,"contacts":118},"Clermont-Ferrand University Hospital, Emergency Department","Clermont-Ferrand","63000",{"type":45,"coordinates":114},[115,116],3.08682,45.77969,{"lat":116,"lon":115},[119],{"name":120,"role":30,"phone":121,"phoneExt":11,"email":122},"Romain Durif, Doctor","+33 (0)4.73.75.19.99","rdurif@chu-clermontferrand.fr",{"facility":124,"status":11,"city":125,"state":11,"zip":126,"country":42,"countryCode":43,"cosmosGeoPoint":127,"geoPoint":131,"contacts":132},"Grenoble Alpes University Hospital, Adult Emergency Department","La Tronche","38700",{"type":45,"coordinates":128},[129,130],5.74629,45.20507,{"lat":130,"lon":129},[133],{"name":134,"role":30,"phone":135,"phoneExt":11,"email":136},"Damien Viglino, Professor","+33 (0)4.76.76.67.84","dviglino@chu-grenoble.fr",{"facility":138,"status":11,"city":139,"state":11,"zip":140,"country":42,"countryCode":43,"cosmosGeoPoint":141,"geoPoint":145,"contacts":146},"Lyon University Hospital (site Edouard Herriot), Emergency Department","Lyon","69003",{"type":45,"coordinates":142},[143,144],4.84789,45.74906,{"lat":144,"lon":143},[147],{"name":148,"role":30,"phone":149,"phoneExt":11,"email":150},"Youri Yordanov, Professor","+33 (0)4.72.11.22.93","youri.yordanov@chu-lyon.fr",{"facility":152,"status":11,"city":153,"state":11,"zip":154,"country":42,"countryCode":43,"cosmosGeoPoint":155,"geoPoint":159,"contacts":160},"Poitiers University Hospital, Emergency Department","Poitiers","86000",{"type":45,"coordinates":156},[157,158],0.34348,46.58261,{"lat":158,"lon":157},[161],{"name":162,"role":30,"phone":163,"phoneExt":11,"email":164},"Nicolas Marjanovic, Doctor","+33 (0)5.49.44.44.44","nicolas.marjanovic@chu-poitiers.fr",{"facility":166,"status":11,"city":167,"state":11,"zip":168,"country":42,"countryCode":43,"cosmosGeoPoint":169,"geoPoint":173,"contacts":174},"Toulouse University Hospital, Emergency Department","Toulouse","31000",{"type":45,"coordinates":170},[171,172],1.44367,43.60426,{"lat":172,"lon":171},[175],{"name":176,"role":30,"phone":177,"phoneExt":11,"email":178},"Frederic Balen, Doctor","+33 (0)561772579","balen.f@chu-toulouse.fr",{"type":180,"investigatorFullName":11,"investigatorTitle":11,"investigatorAffiliation":11,"oldNameTitle":11,"oldOrganization":11},"SPONSOR","100631360","pulmonary-embolism-in-patients-with-acute-heart-failure-pehf-study-100631360",false,"NCT07499661","Pulmonary Embolism in Patients With Acute Heart Failure (PEHF Study)","Pulmonary Embolism in Patients With Acute Heart Failure: A Pragmatic Cluster-Randomized Trial (PEHF Study)","PEHF","Inclusion Criteria:\n\n* Adult patient (≥18 years)\n* Admission to the emergency department or cardiology unit of a participating center\n* Recent onset or worsening dyspnea and\u002For orthopnea\n* Diagnosis of acute heart failure defined by recent dyspnea associated with at least one of the following:\n\n  * Bilateral pulmonary crackles on auscultation and\u002For peripheral edema\n  * Signs of pulmonary congestion on chest X-ray or lung\u002Fcardiac ultrasound\n  * Elevated natriuretic peptide levels (BNP or NT-proBNP)\n  * Documented history of heart failure (known chronic heart failure or prior hospitalization for acute heart failure)\n* Patient affiliated with or beneficiary of a social security system\n* Patient able and willing to provide free, informed, and written consent\n\nExclusion Criteria:\n\n* Shock state suggesting cardiogenic shock and\u002For severe pulmonary embolism\n* Severe respiratory distress at inclusion preventing appropriate positioning or performance of imaging examinations\n* Evidence of acute coronary syndrome on electrocardiogram at admission\n* Severe renal impairment (creatinine clearance \\\u003C30 mL\u002Fmin)\n* Known hypersensitivity or allergy to iodinated contrast agents\n* Ongoing therapeutic anticoagulation for more than 48 hours prior to admission\n* Hospitalization for more than 48 hours prior to inclusion\n* Inability to ensure 90-day follow-up (e.g., end-of-life situation, no fixed address, patient not reachable)\n* Inadequate understanding of the French language preventing proper study information and consent\n* Pregnant, breastfeeding, or postpartum women\n* Individuals under legal protection or other vulnerable populations, including minors and protected adults, in accordance with applicable public health regulations (Articles L.1121-5 to L.1121-8 and L.1122-1-2 of the French Public Health Code)","ALL","18 Years",{"count":192,"type":193},740,"ESTIMATED","INTERVENTIONAL",[196],"NA","This study focuses on two serious and common medical conditions: heart failure and pulmonary embolism (a blood clot in the lungs). Heart failure happens when the heart cannot pump blood effectively, and it is one of the main reasons older adults are admitted to the hospital. Pulmonary embolism can be life-threatening and may worsen heart failure or even trigger it.\n\nDoctors believe that pulmonary embolism may often go undetected in patients who come to the hospital with symptoms of acute heart failure, such as sudden shortness of breath. This is because both conditions can cause similar symptoms, making it difficult to tell them apart. As a result, doctors may sometimes assume the symptoms are only due to heart failure and not investigate further for a possible blood clot.\n\nHowever, missing a pulmonary embolism can have serious consequences. Studies suggest that some patients with heart failure who die may actually have had an undiagnosed pulmonary embolism. Current medical guidelines recommend checking for pulmonary embolism when the cause of breathing problems is unclear, but in real-life practice, this is not always done.\n\nThe goal of this study is to find out whether pulmonary embolism is underdiagnosed in patients with suspected acute heart failure and whether systematically testing for it could improve patient outcomes.\n\nTo do this, the study will compare two approaches in several hospitals. In half of the hospitals, doctors will follow their usual practice and decide case by case whether to test for pulmonary embolism. In the other half, doctors will systematically test all eligible patients for pulmonary embolism using recommended diagnostic methods.\n\nAdult patients admitted with recent or worsening breathing difficulties and signs of acute heart failure may be included in the study, provided they give their consent. Researchers will collect information about their symptoms, tests, diagnosis, and treatments.\n\nPatients will be monitored during their hospital stay and for three months afterward. The study will track important outcomes such as survival, new blood clots, bleeding events, repeated hospital visits for breathing problems, and overall time spent in the hospital.\n\nThe researchers expect to include about 740 patients in total. They estimate that pulmonary embolism may be found in about 1% of patients with usual care, but up to 5% when doctors systematically look for it.\n\nThis study aims to better understand how often pulmonary embolism occurs in patients with acute heart failure and whether more systematic testing could lead to earlier diagnosis and better care. The results could help improve medical practice and reduce complications or deaths related to missed diagnoses.",[199,200,201],"Acute Heart Failure (AHF)","Pulmonary Embolism (Diagnosis)","Venous Thromboembolism",[203],"Cluster-randomized trial","NOT_YET_RECRUITING","2026-03-30",{"date":207,"type":208},"2026-04-03","ACTUAL",{"date":210,"type":193},"2026-06",{"date":212,"type":193},"2028-09",{"name":5,"class":6},10]