Our hypothesis: a daily bedside echocardiographic assessment, protocolized, simple and reproducible estimation of filling pressures with an evaluation of mitral inflow and the inferior vena cava, allow a more reliable estimate of the true blood volume of the patient and thus lead to a therapeutic adjustment more suitable. This therapeutic adjustment closer to patient's needs would impact fewer readmissions at 30 days and mortality, less alteration of biological parameters myocardial, kidney and liver.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
250
Estimation of the transmitral flow of the inferior vena cava and its variations
CHU Arnaud de Villeneuve
Montpellier, France
CHU Nimes
Nîmes, France
rehospitalization
Time frame: 30 days
mortality
Time frame: 6 months
worsening heart failure
Time frame: during hospitalization
average length of stay
Time frame: during hospitalization
alteration of biological parameters myocardial, kidney and liver
Time frame: Hospital discharge +7 days, Hospital discharge +30 days
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