Unique ID issued by UMIN | UMIN000029129 |
---|---|
Receipt number | R000031421 |
Scientific Title | Evaluation of neurohumoral factors and water clearance for treating acute decompensated heart failure with salt |
Date of disclosure of the study information | 2017/09/13 |
Last modified on | 2017/09/13 15:10:28 |
Evaluation of neurohumoral factors and water clearance for treating acute decompensated heart failure with salt
Enter-salt
Evaluation of neurohumoral factors and water clearance for treating acute decompensated heart failure with salt
Enter-salt
Japan |
Acute decompensated heart failure
Cardiology |
Others
NO
To investigate how hypertonic saline plus low-dose furosemide affects neurohumoral factors and water clearance in the treatment of acute decompensated heart failure.
Efficacy
Exploratory
Explanatory
1. Change in serum anti-diuretic hormone during 24 hours
2. Change in urine clearance during 24 hours
1. Change in serum osmolality during 24 hours
2. Change in urinary osmolality during 24 hours
3. Change in urinary volume during 24 hours
4. Change in systolic blood pressure during 24 hours
5. Change in diastolic blood pressure during 24 hours
6. Change in heart rate during 24 hours
7. Change in serum sodium level during 24 hours
8. Change in serum potassium during 24 hours
9. Change in serum chloride during 24 hours
10. Change in urinary sodium level during 24 hours
11. Change in urinary potassium during 24 hours
12. Change in urinary chloride during 24 hours
13. Change in plasma aldosterone concentration during 24 hours
14. Change in plasma renin activity during 24 hours
15. Change in plasma catecholamine during 24 hours
16. Change in blood urea nitrogen during 24 hours
17. Change in urinary urea nitrogen during 24 hours
18. Change in serum creatinine during 24 hours
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
Active
YES
NO
2
Treatment
Medicine |
Hypertonic saline group: continuous intravenous infusion of 120mL 2.4% hypertonin saline for 1 hour after bolus injection of 40mg furosemide.
Glucose group: continuous intravenous infusion of 120mL 5 % glucose solution for 1 hour after bolus infusion of 40mg furosemide.
20 | years-old | <= |
Not applicable |
Male and Female
1. Patients with age 20 and over.
2. Patients who are hospitalized due to acute decompensated heart failure
3. Patients who gave written informed consent
1. Patients with less than 90mmHg of systolic blood pressure
2. Patients with acute coronary sydrome
3. Patients requiring intra-aortic balloon pump therapy and extracorporeal circulation system
4. Patients with severe kidney disease(less than 15ml/min/1.73m2 of eGFR)
5. Patients with regular hemodialysis
6. Patients with more than 148mEq/L of serum sodium level
7. Patients with endocrine disease (eg: SIADH and aldosteronism)
8. Patients who already participate in other clinical trials or plan to participate during this study
9. For other reasons, patients whom the investigators deem inappropriate to participate in this study
30
1st name | |
Middle name | |
Last name | Tohru Masuyama |
Hyogo College of Medicine
Department of Internal Medicine, Cardiovascular Division/Division of Coronary Heart Disease, Hyogo College of Medicine
1-1 Mukogawa-cho, Nishinomiya-city, Hyogo 663-8501, Japan
0798-45-6553
masuyama@hyo-med.ac.jp
1st name | |
Middle name | |
Last name | Yoshitaka Okuhara |
Hyogo College of Medicine
Department of Internal Medicine, Cardiovascular Division, Hyogo College of Medicine
1-1 Mukogawa-cho, Nishinomiya-city, Hyogo 663-8501, Japan
0798-45-6553
okuhara@hyo-med.ac.jp
Hyogo College of Medicine
Hyogo College of Medicine
Other
NO
2017 | Year | 09 | Month | 13 | Day |
Unpublished
Preinitiation
2017 | Year | 06 | Month | 10 | Day |
2017 | Year | 09 | Month | 13 | Day |
2017 | Year | 09 | Month | 13 | Day |
2017 | Year | 09 | Month | 13 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000031421