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RECRUITING
NCT07711821
NA

PRIMARY-HF: Heart Failure Screening in Primary Care Using Point-of- Care

Sponsor: Universidade do Porto

View on ClinicalTrials.gov

Summary

The goal of this clinical trial is to evaluate whether the use of NT-proBNP testing and point-of-care ultrasound (POCUS) can improve the diagnosis and management of heart failure in adults aged 50 years or older with suspected heart failure or cardiovascular risk factors in primary care settings. The main questions it aims to answer are: * Does the use of NT-proBNP and/or POCUS increase the rate of new heart failure diagnoses compared with standard care? * Does this approach support earlier initiation of guideline-directed medical therapy and improve patients' quality of life? Researchers will compare standard care alone with standard care combined with NT-proBNP testing, POCUS, or both, to assess their impact on diagnosis and management of heart failure. Participants will: * Be randomly assigned to one of four groups (standard care, NT-proBNP, POCUS, or both). * Undergo clinical evaluation for heart failure according to their assigned group. * Be followed for 12 months with periodic assessments of quality of life and treatment adherence.

Official title: PRIMARY-HF: Diagnóstico de Insuficiência Cardíaca em Cuidados de Saúde Primários Utilizando Ecografia Point-of-Care e Péptidos Natriuréticos

Key Details

Gender

All

Age Range

49 Years - Any

Study Type

INTERVENTIONAL

Enrollment

160

Start Date

2026-03-23

Completion Date

2027-07

Last Updated

2026-07-17

Healthy Volunteers

No

Conditions

Interventions

DIAGNOSTIC_TEST

NT-proBNP testing

Measurement of N-terminal pro-B-type natriuretic peptide (NT-proBNP) levels in blood as part of the diagnostic evaluation for suspected heart failure in primary care.

DEVICE

Cardiac Point-of-Care Ultrasound (POCUS)

Cardiac point-of-care ultrasound performed by trained primary care physicians to assess cardiac structure and function as part of the diagnostic evaluation for suspected heart failure.

OTHER

standard of care

Usual clinical evaluation and management in primary care according to standard practice, without additional diagnostic interventions specified in the study.

Locations (4)

Unidade de Saúde Familiar Conde da Lousã

Amadora, Portugal

Unidade de Saúde Familiar do Parque

Lisbon, Portugal

Unidade de Saúde Familiar Rodrigues Miguéis

Lisbon, Portugal

Unidade de Saúde Familiar Garcia Orta

Porto, Portugal