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.

NCT Number	NCT07391683
Lead Sponsor	Medical University Innsbruck
Conditions	Patients With Heart Failure Undergoing Cardiac Surgery
Enrollment	162 participants
Start Date	2026-02-16
Primary Completion	2029-04-16 (estimated)
Study Completion	2034-01-01 (estimated)
Updated on ClinicalTrials.gov	2026-02-18