Acetazolamide and Spironolactone to Increase Natriuresis in Congestive Heart Failure
Acetazolamide and Spironolactone to Increase Natriuresis in Congestive Heart Failure
NCT ID: NCT01973335 Phase: PHASE4 Status: COMPLETED Enrollment: 34 Completion: 2017-10
Conditions
Heart Failure
Interventions
Combination therapy with acetazolamide and low-dose loop diuretics, High-dose loop diuretics, Upfront therapy with oral spironolactone
Summary
This study has two primary objectives:
- To compare combination therapy with acetazolamide and low-dose loop diuretics versus high-dose loop diuretics (standard of care) in patients with acute decompensated heart failure at high risk for diuretic resistance.
- To demonstrate the safety and efficacy of upfront therapy with spironolactone in addition to loop diuretic therapy in patients with acute decompensated heart failure at high risk for diuretic resistance.
Primary Outcome
Acetazolamide Arm: Natriuresis 24 h