Sarcopenia in older adults with acute heart failure: using muscle ultrasound and biomarkers to predict outcomes
Official title: Multimodal Approach to Sarcopenia and Its Prognostic Impact in Older Patients Hospitalized for Acute Heart Failure (MUSICA Study).
Run by Fundacion para la Investigacion Biomedica del Hospital Universitario Ramon y Cajal · NCT07530029 · Data updated 2026-11-12
This study tests whether measuring muscle mass with ultrasound, along with muscle strength and biomarkers, can help predict outcomes for adults 80 and older hospitalized for acute heart failure with preserved ejection fraction.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 80 Years and up |
| Sex | All |
| Enrollment | 110 (estimated) |
| Sponsor | Fundacion para la Investigacion Biomedica del Hospital Universitario Ramon y Cajal Academic / other |
| Locations | 1 site (Madrid, Madrid) |
| Status | Recruiting |
| Started | May 5, 2026 |
| Main results expected | October 2027 |
| Study ends | November 2027 |
| Registry record updated | June 23, 2026 |
| Trial ID | NCT07530029 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are patients aged 80 or older with HFpEF (LVEF ≥50%), hospitalized for acute heart failure, and requiring IV diuretics.
✕Probably not a fit
Patients without sarcopenia or those unable to undergo ultrasound or biomarker testing may have less or no benefit from this characterization.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Older adults (80+) hospitalized for acute heart failure with preserved ejection fraction are evaluated for sarcopenia using muscle ultrasound, strength tests, and blood biomarkers. The goal is to see if these measures together can better predict discharge outcomes and prognosis. It is an observational study conducted at a single center, focusing on prognosis rather than treatment effects.
Why it matters
Potential benefit: If successful, this approach could improve risk stratification and inform care planning for very elderly patients with HFpEF and sarcopenia.
How similar studies have gone: Previous work suggests multimodal assessment can be informative, but prognostic value of combined muscle ultrasound and biomarkers in HFpEF with sarcopenia is still being established.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Patients with HF-pEF (LVEF ≥50%), hospitalized for AHF, with signs of fluid overload and requiring intravenous diuretic treatment. The diagnosis of HF will be made in accordance with ESC-2021 guidelines based on the presence of typical signs and symptoms, elevated natriuretic peptides (BNP \>100 pg/mL or NTproBNP \>300 pg/mL), and evidence of underlying structural heart disease by transthoracic echocardiography (performed during admission or within a period of 24 months prior to admission). * Age ≥ 80 years. * NYHA functional class II-IV. Exclusion Criteria: * End-of-life care. * Inability to comply with study procedures. * Already included patients on readmission.
Where it's running
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Hospital Universitario Ramon y Cajal
Madrid, Madrid, Spain Recruiting
Study contacts
- Principal investigator: Alberto Pérez Nieva — Hospital Universitario Ramon y Cajal
- Study coordinator: Alberto Pérez-Nieva, MD
- Email: apnieva@salud.madrid.org
- Phone: +34 913 36 80 00
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.