PMID- 35246723 OWN - NLM STAT- MEDLINE DCOM- 20221102 LR - 20221102 IS - 1861-0692 (Electronic) IS - 1861-0684 (Print) IS - 1861-0684 (Linking) VI - 111 IP - 11 DP - 2022 Nov TI - Pulmonary artery sensor system pressure monitoring to improve heart failure outcomes (PASSPORT-HF): rationale and design of the PASSPORT-HF multicenter randomized clinical trial. PG - 1245-1255 LID - 10.1007/s00392-022-01987-3 [doi] AB - BACKGROUND: Remote monitoring of patients with New York Heart Association (NYHA) functional class III heart failure (HF) using daily transmission of pulmonary artery (PA) pressure values has shown a reduction in HF-related hospitalizations and improved quality of life in patients. OBJECTIVES: PASSPORT-HF is a prospective, randomized, open, multicenter trial evaluating the effects of a hemodynamic-guided, HF nurse-led care approach using the CardioMEMS HF-System on clinical end points. METHODS AND RESULTS: The PASSPORT-HF trial has been commissioned by the German Federal Joint Committee (G-BA) to ascertain the efficacy of PA pressure-guided remote care in the German health-care system. PASSPORT-HF includes adult HF patients in NYHA functional class III, who experienced an HF-related hospitalization within the last 12 months. Patients with reduced ejection fraction must be on stable guideline-directed pharmacotherapy. Patients will be randomized centrally 1:1 to implantation of a CardioMEMS sensor or control. All patients will receive post-discharge support facilitated by trained HF nurses providing structured telephone-based care. The trial will enroll 554 patients at about 50 study sites. The primary end point is a composite of the number of unplanned HF-related rehospitalizations or all-cause death after 12 months of follow-up, and all events will be adjudicated centrally. Secondary end points include device/system-related complications, components of the primary end point, days alive and out of hospital, disease-specific and generic health-related quality of life including their sub-scales, and laboratory parameters of organ damage and disease progression. CONCLUSIONS: PASSPORT-HF will define the efficacy of implementing hemodynamic monitoring as a novel disease management tool in routine outpatient care. TRIAL REGISTRATION: ClinicalTrials.gov; NCT04398654, 13-MAY-2020. CI - (c) 2022. The Author(s). FAU - Stork, Stefan AU - Stork S AUID- ORCID: 0000-0002-1771-7249 AD - Comprehensive Heart Failure Center, University and University Hospital Wurzburg, Am Schwarzenberg 15, 97078, Wurzburg, Germany. Stoerk_S@ukw.de. AD - Department of Internal Medicine I, University Hospital Wurzburg, Wurzburg, Germany. Stoerk_S@ukw.de. FAU - Bernhardt, Alexandra AU - Bernhardt A AD - Institut fur Herzinfarktforschung (IHF GmbH), Ludwigshafen, Germany. FAU - Bohm, Michael AU - Bohm M AD - Department of Internal Medicine III, University Hospital, Saarland University, Homburg/Saar, Germany. FAU - Brachmann, Johannes AU - Brachmann J AD - Department of Internal Medicine II, Klinikum Coburg GmbH, Coburg, Germany. FAU - Dagres, Nikolaos AU - Dagres N AD - Leipzig Heart Institute, Leipzig, Germany. AD - Department of Electrophysiology, Heart Center Leipzig at the University of Leipzig, Leipzig, Germany. FAU - Frantz, Stefan AU - Frantz S AD - Comprehensive Heart Failure Center, University and University Hospital Wurzburg, Am Schwarzenberg 15, 97078, Wurzburg, Germany. AD - Department of Internal Medicine I, University Hospital Wurzburg, Wurzburg, Germany. FAU - Hindricks, Gerd AU - Hindricks G AD - Leipzig Heart Institute, Leipzig, Germany. AD - Department of Electrophysiology, Heart Center Leipzig at the University of Leipzig, Leipzig, Germany. FAU - Kohler, Friedrich AU - Kohler F AD - Center for Cardiovascular Telemedicine, Charite Universitatsmedizin Berlin, Campus Mitte, Berlin, Germany. FAU - Zeymer, Uwe AU - Zeymer U AD - Institut fur Herzinfarktforschung (IHF GmbH), Ludwigshafen, Germany. AD - Department of Cardiology, Heart Centre Ludwigshafen, Ludwigshafen, Germany. FAU - Rosenkranz, Stephan AU - Rosenkranz S AD - Ludwigshafen Hospital, Ludwigshafen, Germany. FAU - Angermann, Christiane AU - Angermann C AD - Comprehensive Heart Failure Center, University and University Hospital Wurzburg, Am Schwarzenberg 15, 97078, Wurzburg, Germany. FAU - Assmus, Birgit AU - Assmus B AD - Department of Internal Medicine I, University Hospital Giessen and Marburg, Giessen, Germany. LA - eng SI - ClinicalTrials.gov/NCT04398654 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20220304 PL - Germany TA - Clin Res Cardiol JT - Clinical research in cardiology : official journal of the German Cardiac Society JID - 101264123 SB - IM MH - Adult MH - Humans MH - *Hemodynamic Monitoring MH - Pulmonary Artery MH - Blood Pressure Monitoring, Ambulatory MH - Quality of Life MH - Prospective Studies MH - Aftercare MH - Patient Discharge MH - *Heart Failure/therapy/drug therapy PMC - PMC8896072 OTO - NOTNLM OT - CardioMEMS HF-System OT - Heart failure OT - Pulmonary artery pressure OT - Randomized controlled trial OT - Remote monitoring EDAT- 2022/03/06 06:00 MHDA- 2022/11/03 06:00 PMCR- 2022/03/04 CRDT- 2022/03/05 05:30 PHST- 2021/10/11 00:00 [received] PHST- 2022/01/18 00:00 [accepted] PHST- 2022/03/06 06:00 [pubmed] PHST- 2022/11/03 06:00 [medline] PHST- 2022/03/05 05:30 [entrez] PHST- 2022/03/04 00:00 [pmc-release] AID - 10.1007/s00392-022-01987-3 [pii] AID - 1987 [pii] AID - 10.1007/s00392-022-01987-3 [doi] PST - ppublish SO - Clin Res Cardiol. 2022 Nov;111(11):1245-1255. doi: 10.1007/s00392-022-01987-3. Epub 2022 Mar 4.