Adult | Age | Chronic heart failure disease length | High risk
Item
candidates for enrollment in this clinical trial are limited to adult patients (age>21) diagnosed with chronic heart failure > one year who are managed by heart failure specialists at the university of chicago. patients primarily managed by physicians other than the investigators will be enrolled with the concurrence of the treating physician. study patients are characterized as "high risk" by fulfilling one or more of the following criteria:
boolean
C0001675 (UMLS CUI [1])
C0001779 (UMLS CUI [2])
C0264716 (UMLS CUI [3,1])
C0872146 (UMLS CUI [3,2])
C0332167 (UMLS CUI [4])
Refractory heart failure | New York Heart Association Classification | Therapeutic procedure Optimal | Angiotensin-Converting Enzyme Inhibitors | Angiotensin II receptor antagonist | Adrenergic beta-Antagonists | Spironolactone | Digoxin | Diuretics | Calcium Channel Blockers
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1. refractory class iii or iv heart failure despite optimal medical therapy by a heart failure specialist: angiotensin converting enzyme inhibitors (acei), angiotensin receptor blockers (arb), beta-adrenergic blockers (bb), spironolactone (spiro), digoxin (dig), diuretics, and calcium channel blockers (ccb).
boolean
C1281998 (UMLS CUI [1])
C1275491 (UMLS CUI [2])
C0087111 (UMLS CUI [3,1])
C2698651 (UMLS CUI [3,2])
C0003015 (UMLS CUI [4])
C0521942 (UMLS CUI [5])
C0001645 (UMLS CUI [6])
C0037982 (UMLS CUI [7])
C0012265 (UMLS CUI [8])
C0012798 (UMLS CUI [9])
C0006684 (UMLS CUI [10])
frequent hospitalization | frequent emergency room visits
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2. frequent hospitalizations or er visits (>1/month on average).
boolean
C2008809 (UMLS CUI [1])
C2008803 (UMLS CUI [2])
Informed Consent | Home Infusion Therapy Intravenous Continuous chronic | nursing home care
Item
additionally, patients must be capable of giving informed consent and have adequate social supports to manage chronic, continuous iv infusion therapy with the assistance of home care nursing and the study coordinator.
boolean
C0021430 (UMLS CUI [1])
C0242945 (UMLS CUI [2,1])
C0021440 (UMLS CUI [2,2])
C0549178 (UMLS CUI [2,3])
C0205191 (UMLS CUI [2,4])
C0260062 (UMLS CUI [3])
infusion of nesiritide
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1. nesiritide infusion >24 hours in the previous 30 days.
boolean
C1135444 (UMLS CUI [1])
Chronic heart failure Stable | New York Heart Association Classification
Item
2. stable chronic heart failure or nyha class i or ii.
boolean
C0264716 (UMLS CUI [1,1])
C0205360 (UMLS CUI [1,2])
C1275491 (UMLS CUI [2])
Aortic Valve Stenosis Degrees of severity | Echocardiography | Catheterization
Item
3. aortic stenosis greater than mild degree as determined by echocardiogram or catheterization.
boolean
C0003507 (UMLS CUI [1,1])
C0441982 (UMLS CUI [1,2])
C0013516 (UMLS CUI [2])
C0007430 (UMLS CUI [3])
Hypertrophic Cardiomyopathy | Outflow tract of left ventricle Gradient
Item
4. hypertrophic cardiomyopathy with an outflow tract gradient.
boolean
C0007194 (UMLS CUI [1])
C0225912 (UMLS CUI [2,1])
C0812409 (UMLS CUI [2,2])
Right Heart Failure Isolated | Cor pulmonale
Item
5. isolated right heart failure (cor pulmonale).
boolean
C0235527 (UMLS CUI [1,1])
C0205409 (UMLS CUI [1,2])
C0034072 (UMLS CUI [2])
Coronary Syndrome Unstable | Myocardial Infarction
Item
6. unstable coronary syndrome or myocardial infarction< 3 months prior to enrollment.
boolean
C0948089 (UMLS CUI [1,1])
C0443343 (UMLS CUI [1,2])
C0027051 (UMLS CUI [2])
Chronic hypotension | Systolic Pressure
Item
7. chronic hypotension with systolic blood pressure < 80 mmhg.
boolean
C0155800 (UMLS CUI [1])
C0871470 (UMLS CUI [2])
Cardiovascular Disease End-stage | Life Expectancy | Moribund
Item
8. terminal noncardiovascular illness with life expectancy <6 months. moribund patients will not be considered for enrollment.
boolean
C0007222 (UMLS CUI [1,1])
C0205088 (UMLS CUI [1,2])
C0023671 (UMLS CUI [2])
C0424547 (UMLS CUI [3])
Substance Use Disorders
Item
9. active substance abuse.
boolean
C0038586 (UMLS CUI [1])
Lack Of Social Support
Item
10. inadequate social support.
boolean
C2364105 (UMLS CUI [1])
Medical contraindication Intravenous Access Long-term
Item
11. contraindication to long term iv access.
boolean
C1301624 (UMLS CUI [1,1])
C3650989 (UMLS CUI [1,2])
C0443252 (UMLS CUI [1,3])
Pregnancy | Breast Feeding
Item
12. pregnant or lactating females.
boolean
C0032961 (UMLS CUI [1])
C0006147 (UMLS CUI [2])