Heart failure & cardiomyopathiesRandomised controlled trial

Continuous Risk Monitoring and Management of Heart Failure: Rationale and Design of the ALLEVIATE-HF Trial

Eur J Heart FailPublished

  • Randomised controlled trial (rationale and design)
  • prospective
  • double-blind
  • multicentre

After 13 months of randomized follow-up, all patients enter an unblinded prolonged follow-up phase with PRN interventions upon high risk

Authors' conclusion

ALLEVIATE-HF will evaluate how ICM-based HF management can impact the outcomes of patients with HF regardless of ejection fraction.

Study context

Population
NYHA class II or III heart failure (HF) with recent HF hospitalization, outpatient IV diuretics or elevated natriuretic peptides, without an implanted cardiac device or haemodynamic monitorplanned enrolment
Participants
~760 participants
Comparison
Insertable cardiac monitor (ICM)-guided intervention pathway vs observation
Primary endpoint
Hierarchical composite of CV death, HF events, KCCQ score and 6-min walk test distance
Follow-up
13 months of randomized

Original publication

Continuous Risk Monitoring and Management of Heart Failure: Rationale and Design of the ALLEVIATE-HF Trial. Eur J Heart Fail. Published 27 January 2025. doi:10.1002/ejhf.3595

Summarised from the published abstract; every number is checked against it