Heart failure & cardiomyopathiesTrial design

Lower limb compression in acute heart failure and predominant tissue congestion: rationale and design of the COMPRESSION-HF trial

ESC Heart FailPublished

  • investigator-initiated, multicentre, randomized, double-blind, sham-controlled trial
  • rationale and design
  • 1:1 allocation

Study context

Population
Adults with acute decompensated heart failure (ADHF), bilateral leg oedema (grade II or higher of IV), NT-proBNP >1000 pg/ml, and inferior vena cava (IVC) diameter ≤21 mmpatients randomized, recruitment complete
Participants
106 adults
Planned comparison
active bilateral lower limb compression vs sham bandaging
Primary endpoint
Co-primary: 24-h urinary sodium excretion and change in body weight from baseline

No results yet. This paper sets out the design of a trial; its results are to come.

Original publication

Lower limb compression in acute heart failure and predominant tissue congestion: rationale and design of the COMPRESSION-HF trial. ESC Heart Fail. Published 12 August 2026. doi:10.1093/eschf/xvag214

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