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The goal of this observational study is to learn whether information collected during routine hospital care, together with blood and urine samples, can help doctors better identify different types of cardiogenic shock and better predict outcomes in adults hospitalized with acute heart failure and cardiogenic shock. The main question is whether clinical findings, imaging results, and biomarkers, including sex-specific factors, are associated with the risk of death within 30 days. Participants will not receive an experimental treatment. Researchers will collect data from routine care, collect additional blood and urine samples for biobanking, and follow participants after hospital discharge
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Arm 1 |
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| Measure | Description | Time Frame |
|---|---|---|
| Mortality | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Mortality | 6 and 12 months | |
| Rehospitalization for heart failure | From hospital discharge until 12 months | |
| Rehospitalization for cardiac reasons (non-elective) |
| Measure | Description | Time Frame |
|---|---|---|
| Bleeding ≥ SHARC 3a | Index hospitalization | |
| Functional capacity (physical) | Six-minute walk test | At 6 months follow up |
Inclusion Criteria:
Exclusion Criteria:
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Consecutive adult patients hospitalized at participating study sites with acute heart failure and cardiogenic shock (SCAI stages B-E).
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Lucas Bacmeister, MD | Contact | 004976127034010 | lucas.bacmeister@uniklinik-freiburg.de |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Heart Center Freiburg - Bad Krozingen | Recruiting | Bad Krozingen | 79189 | Germany |
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| ID | Term |
|---|---|
| D012770 | Shock, Cardiogenic |
| ID | Term |
|---|---|
| D009203 | Myocardial Infarction |
| D017202 | Myocardial Ischemia |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| From hospital discharge until 12 months |
| Functional capacity (cognitive) |
MOCA |
| At 6 months follow up |
| Functional capacity | KCCQ | At 6 months follow up |
| Quality of life measure | PHQ-2 | At 6 months follow up |
| Quality of life measure | EQ-5D-5L | At 6 months follow up |
| University Medical Center Freiburg, Interdisciplinary Medical Intensive Care | Recruiting | Freiburg im Breisgau | 79106 | Germany |
|
| Department for Internal Medicine 8, Clinic for Cardiology and Rhythmology, University Clinic of the Paracelsus Medi-cal University Nuremberg | Active, not recruiting | Nuremberg | Germany |
| Schwarzwald Baar Klinikum Villingen-Schwenningen, Klinik für Kardiologie und Intensivmedizin | Recruiting | Villingen-Schwenningen | Germany |
|
| D014652 |
| Vascular Diseases |
| D007238 | Infarction |
| D007511 | Ischemia |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D009336 | Necrosis |
| D012769 | Shock |