Cardiovascular and Renal Treatment in Heart Failure Patients With Hyperkalaemia or at High Risk of Hyperkalaemia
About the study
The CARE-HK in HF is a registry study based on the hypothesis that adherence to guidelines is associated with improved real-world outcomes for heart failure (HF) patients. For the purpose of this study, adherence to guidelines is defined as 1) adherence to potassium (sK+) monitoring recommendations, and 2) adherence to renin-angiotensin-aldosterone system inhibitor (RAASi) treatment recommendations, according to the most current local guidelines at the time of assessment.
The study aims to evaluate real-world RAASi treatment patterns in clinical practice compared with the guideline-directed medical therapy (GDMT) recommendations. Factors associated with patients achieving GDMT will be evaluated to identify potential barriers.
Who can take part
You may be eligible to participate in the study if you meet the following criteria:
INCLUSION CRITERIA
Inclusion Criteria:
Patient diagnosed with chronic HF ≥3 months prior to signature of informed consent.
Patient has at least 1 record of left ventricular ejection fraction (LVEF) documented in patient medical record in the 24 months prior to signature of informed consent.
NOTE: If the proportion of patients with HFpEF exceeds 20% of the target sample size, enrolment of patients with an LVEF ≥50% may be capped.
- Patient treated with angiotensin-converting enzyme inhibitors (ACEi) / angiotensin receptor blockers (ARB) / angiotensin receptor-neprilysin inhibitors (ARNi) at enrolment.
- Patient treated with or a candidate for treatment with mineralcorticoid receptor antagonist (MRA) per a relevant treatment guideline at enrolment.
Patient at increased risk of hyperkalaemia due to one or more of the following:
- Current hyperkalaemia (sK+ >5.0 mEq/L) at enrolment
- Record of documented hyperkalaemia (sK+ >5.0 mEq/l) in the 24 months prior to signature of informed consent
- estimated glomerular filtration rate (eGFR) <45 mL/min/1.73m2, or Chronic Kidney Disease (CKD) stage ≥3b.
- Patient judged by the Investigator to have sufficient cognitive ability to participate
- Signed informed consent provided.
EXCLUSION CRITERIA
Exclusion Criteria:
- Patient on renal replacement therapy or mechanical circulatory support.
- Disease other than HF with expected survival <1 year.
- Patient is participating in, or being screened for, an interventional trial, with the exception of interventional trials relating to SARS-CoV-2.
- Patient already found to be intolerant to MRA for reasons other than hyperkalaemia or renal impairment.

Study Locations
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How to Apply
Contact the study center to learn if this study is a good match for you.
Study’s details
Contition
Heart Failure,Hyperkalemia
Age (in years)
18+
Participants needed
2000
Est. Completion Date
May 31, 2025
Treatment type
Observational [Patient Registry]
Sponsor
Vifor Pharma
ClinicalTrials.gov identifier
NCT04864795
Study number
HQ-NIS-CHF-07.2020
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