UMIN-ICDS Clinical Trial

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

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Basic information

Public 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

Acronym

Comprehensive Survey for Optimizing Cardiovascular Disease Management in Chronic Care Settings

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

Scientific Title:Acronym

Comprehensive Survey for Optimizing Cardiovascular Disease Management in Chronic Care Settings

Region

Japan


Condition

Condition

Heart Failure and Hypertension

Classification by specialty

Medicine in general Cardiology

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

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.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Prevalence of latent (Stage B) heart failure in hospitalized patients, and Hypertension control rate based on the JSH 2025 guidelines

Key secondary outcomes



Base

Study type

Observational


Study design

Basic design


Randomization


Randomization unit


Blinding


Control


Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms


Purpose of intervention


Type of intervention


Interventions/Control_1


Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

18 years-old <=

Age-upper limit


Not applicable

Gender

Male and Female

Key inclusion criteria

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

Key exclusion criteria

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.

Target sample size

900


Research contact person

Name of lead principal investigator

1st name Yuki
Middle name
Last name Kimura

Organization

Tomei Hospital, Tachibanakai Medical Corporation

Division name

Department of Cardiology

Zip code

480-1153

Address

1-1110 Sakuda, Nagakute, Aichi 480-1153, Japan

TEL

0561-62-7511

Email

zephyr2sr17circ@gmail.com


Public contact

Name of contact person

1st name Yuki
Middle name
Last name Kimura

Organization

Tomei Hospital, Tachibanakai Medical Corporation

Division name

Department of Cardiology

Zip code

480-1153

Address

1-1110 Sakuda, Nagakute, Aichi 480-1153, Japan

TEL

0561-62-7511

Homepage URL


Email

zephyr2sr17circ@gmail.com


Sponsor or person

Institute

Tomei Hospital, Tachibanakai Medical Corporation

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

Nagoya University Certified Clinical Research Review Board

Address

65 Tsurumai-cho, Showa-ku, Nagoya, Aichi, Japan

Tel

052-741-2111

Email

iga-shinsa@t.mail.nagoya-u.ac.jp


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2026 Year 02 Month 20 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Preinitiation

Date of protocol fixation

2026 Year 04 Month 01 Day

Date of IRB


Anticipated trial start date

2026 Year 04 Month 01 Day

Last follow-up date

2031 Year 03 Month 31 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information

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.


Management information

Registered date

2026 Year 02 Month 20 Day

Last modified on

2026 Year 02 Month 20 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/icdr_e/ctr_view.cgi?recptno=R000069459