Remote Program to Prepare Heart Failure Patients for Cardiac Surgery
Tests a telemedicine-supported program that prepares adults with heart failure before heart surgery.
Plain-language title generated from the registry record
Registry title: Telemedically Assisted Optimization for Heart Failure Patients Before Cardiac Surgery to Improve Perioperative Outcome
Key facts
- Where
- Innsbruck, AustriaSee the site
Where in Austria
- Medical University of Innsbruck - Department of Cardiology & Department of Cardiac SurgeryInnsbruck, AustriaTaking people
Questions to ask the study team
- How often do I need to come in, and for how long each time?
- Are travel costs paid?
- Can I keep my own doctor?
- What happens if I want to stop?
Trial details
- Who runs it
- Medical University Innsbruck
- Trial code
- NCT07391683
- Record updated
- 18 February 2026
- Original description
Patients with heart failure undergoing cardiac surgery face a significantly increased perioperative risk, yet no standardized strategy exists to mitigate this risk effectively. Current preoperative management relies on optimization of medical therapy without a structured prehabilitation approach. Given the strong association between eleveated preoperative N-terminal pro-B-type natriuretic peptide levels and postoperative outcomes, patients at increased risk could be identified using this biomarker. Telemedical disease management programs have demonstrated efficacy in outpatient heart failure care, but their role in preoperative optimization remains underexplored. This study aims to assess whether a structured, multidisciplinary, telemedicine-assisted prehabilitation program can reduce perioperative complications, and improve surgical outcomes.Read full original descriptionShow less
Prospective, Randomized Open Label Trial of Telemedically Assisted Optimization for Heart Failure Patients Before Cardiac Surgery to Improve Perioperative Outcome
Patients with heart failure undergoing cardiac surgery face a significantly increased perioperative risk, yet no standardized strategy exists to mitigate this risk effectively. Current preoperative management relies on optimization of medical therapy without a structured prehabilitation approach. Given the strong association between eleveated preoperative N-terminal pro-B-type natriuretic peptide levels and postoperative outcomes, patients at increased risk could be identified using this biomarker. Telemedical disease management programs have demonstrated efficacy in outpatient heart failure care, but their role in preoperative optimization remains underexplored. This study aims to assess whether a structured, multidisciplinary, telemedicine-assisted prehabilitation program can reduce perioperative complications, and improve surgical outcomes.
Inclusion: Indication for elective cardiac surgery in the Heart team; NTproBNP ≥ 1500 ng/L; ≥ 18 years willing to participate in trial; Written informed consent.
Exclusion: Neuropsychiatric disorders / illnesses (e.g. drug addiction, alcohol abuse) that do not allow adherent participation in the study; Chronic kidney disease requiring dialysis; Planed procedure: heart transplantation (HTX), implant of left ventricular mechanical assist devices (L-VAD); No sufficient ability to measure and transfer data or existing support in the social environment; no sufficient ability to communicate (language skills, eyesight, hearing); Pregnancy.