| Unique ID issued by UMIN | UMIN000060712 |
|---|---|
| Receipt number | R000069459 |
| Scientific Title | Comprehensive Survey for Optimizing Cardiovascular Disease Management in Chronic Care Settings: Identification of Undiagnosed Heart Failure and Clinical Practice of the 2025 Hypertension Guidelines |
| Date of disclosure of the study information | 2026/02/20 |
| Last modified on | 2026/02/20 13:57:11 |
Comprehensive Survey for Optimizing Cardiovascular Disease Management in Chronic Care Settings: Identification of Undiagnosed Heart Failure and Clinical Practice of the 2025 Hypertension Guidelines
Comprehensive Survey for Optimizing Cardiovascular Disease Management in Chronic Care Settings
Comprehensive Survey for Optimizing Cardiovascular Disease Management in Chronic Care Settings: Identification of Undiagnosed Heart Failure and Clinical Practice of the 2025 Hypertension Guidelines
Comprehensive Survey for Optimizing Cardiovascular Disease Management in Chronic Care Settings
| Japan |
Heart Failure and Hypertension
| Medicine in general | Cardiology |
Others
NO
The primary objective of this study is to comprehensively clarify the current state of cardiovascular practice within a chronic care setting. The specific aims are as follows:
1) To determine the precise prevalence of latent heart failure comorbid with other conditions among inpatients through comprehensive screening (ECG, echocardiography, and NT-proBNP), and to evaluate the impact of heart failure on clinical outcomes during hospitalization.
2) To assess the achievement rates of blood pressure targets based on the 2025 Japanese Society of Hypertension (JSH 2025) guidelines through a cross-sectional study of hypertensive outpatients, while identifying specific barriers to goal attainment, including clinical inertia and discrepancies in clinical judgment across medical departments.
3) To optimize institutional clinical protocols by establishing "Standard Cardiovascular Care Protocols" based on the obtained evidence, thereby contributing to the overall improvement of the quality of care within the facility.
Safety,Efficacy
Prevalence of latent (Stage B) heart failure in hospitalized patients, and Hypertension control rate based on the JSH 2025 guidelines
Observational
| 18 | years-old | <= |
| Not applicable |
Male and Female
1) Screening and Identification of Latent Heart Failure among Inpatients
All inpatients aged 18 years and older at our hospital
2) Investigation of the Clinical Implementation and Adherence to the JSH 2025 (Japanese Society of Hypertension) Guidelines for Hypertension Management
All outpatients aged 18 years and older diagnosed with hypertension at our hospital
1) Screening and Identification of Latent Heart Failure among Inpatients
Patients who did not undergo heart failure screening (ECG, echocardiography, and NT-proBNP measurement) at the time of admission.
2) Investigation of the Clinical Implementation and Adherence to the JSH 2025 (Japanese Society of Hypertension) Guidelines for Hypertension Management
Patients diagnosed with secondary hypertension.
Patients for whom blood pressure measurement is difficult due to mental or physical reasons.
Duplicate entries for the same patient.
900
| 1st name | Yuki |
| Middle name | |
| Last name | Kimura |
Tomei Hospital, Tachibanakai Medical Corporation
Department of Cardiology
480-1153
1-1110 Sakuda, Nagakute, Aichi 480-1153, Japan
0561-62-7511
zephyr2sr17circ@gmail.com
| 1st name | Yuki |
| Middle name | |
| Last name | Kimura |
Tomei Hospital, Tachibanakai Medical Corporation
Department of Cardiology
480-1153
1-1110 Sakuda, Nagakute, Aichi 480-1153, Japan
0561-62-7511
zephyr2sr17circ@gmail.com
Tomei Hospital, Tachibanakai Medical Corporation
None
Other
Nagoya University Certified Clinical Research Review Board
65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, Japan
052-741-2111
iga-shinsa@t.mail.nagoya-u.ac.jp
NO
| 2026 | Year | 02 | Month | 20 | Day |
Unpublished
Preinitiation
| 2026 | Year | 04 | Month | 01 | Day |
| 2026 | Year | 04 | Month | 01 | Day |
| 2031 | Year | 03 | Month | 31 | Day |
This single-center observational study comprises two clinical investigations: (1) screening and identification of latent heart failure among inpatients, and (2) assessment of the clinical implementation and adherence to the JSH 2025 (Japanese Society of Hypertension) guidelines among outpatients.
In the first investigation, clinical data obtained through routine diagnostic procedures at the time of admission (ECG, echocardiography, and NT-proBNP measurement) will be collected and analyzed to investigate the prevalence and clinical characteristics of latent heart failure among inpatients aged 18 and older.
In the second investigation, clinical data obtained through routine care for outpatients aged 18 and older diagnosed with hypertension will be reviewed to evaluate the adherence rate to the JSH 2025 guidelines and the status of blood pressure management.
Both investigations involve only the extraction and analysis of existing medical records (clinical data, test results, etc.). No experimental interventions, such as the assignment of specific medications or additional invasive procedures, will be performed for the purpose of this research.
| 2026 | Year | 02 | Month | 20 | Day |
| 2026 | Year | 02 | Month | 20 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069459