RELIEVE-HF Patient Initial Eligibility Quiz
NOTE: your responses are anonymous. This quiz is intended to demonstrate if you could be an initial candidate for the RELIEVE-HF trial. Eligibility is determined by a number of clinical and personal factors, which should be discussed by you and your physician.
Based on your feedback, you may be an eligible candidate for the RELIEVE-HF randomized clinical trial.
Persons interested in participation should have a discussion with their physician, including a review of the risks and benefits associated with participating in a clinical trial.
For a listing of current investigational sites – and to find the one closest to you – visit our Study Locations page.
Based on your feedback, you may have one or more conditions that may not allow entry into the RELIEVE-HF randomized clinical trial.
Thank you for your interest at this time.
#1. Are you age 18 or older?
#2. Have you been clinically diagnosed by a physician with Heart Failure?
#3. Are you currently taking medication for Heart Failure?
#4. Have you recently experienced symptoms for Heart Failure, including shortness of breath, fatigue, inability to lie flat or reduced capability for exercise or activity?
#5. In the past 12 months, have you been hospitalized or treated in an ER department for Heart Failure?
#6. Are you currently on kidney dialysis?
#7. Are you currently enrolled in another clinical research study for an investigational drug or medical device?
#8. Have you ever had a heart transplant or are currently awaiting one?
#9. Do you currently have an implanted pacemaker or defibrillator to treat your heart rhythm?
#10. Do you currently have an implanted mechanical heart assist (pump) device?
CAUTION: Investigational Device, limited by Federal U.S. law to investigational use. To be used by Qualified Investigators only.
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