NCT02391142
Unknown
N/A
Clinical Assessment of the Treatment With Cardiac Sympathetic Blockade on Chronic Heart Failure
First Affiliated Hospital of Harbin Medical University1 site in 1 country100 target enrollmentJune 2014
Overview
- Phase
- N/A
- Intervention
- Lidocaine
- Conditions
- Heart Failure
- Sponsor
- First Affiliated Hospital of Harbin Medical University
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- All cause mortality
- Last Updated
- 7 years ago
Overview
Brief Summary
The purpose of this study is to evaluate the effect of Cardiac Sympathetic Blockade on Mortality, re-hospitalization rate, symptoms, quality of life, exercise tolerance, cardiac structure, systolic function, electrical activities and concentration of B - type natriuretic peptide precursor in patients with Chronic Heart Failure.
Investigators
Eligibility Criteria
Inclusion Criteria
- •20-70 years old
- •more than 3 months of chronic heart failure history or clinical symptoms of heart failure last for more than 3 months (including acute episode of chronic heart failure), chronic heart failure diagnostic criteria refer to 2012ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure
- •NYHA functional class III-IV, ejection fraction ≤45%
- •NT-proBNP\>400ng/L
Exclusion Criteria
- •first episode of acute heart failure
- •unrepaired valvular heart disease accompanied with Hemodynamic changes
- •hypertrophic cardiomyopathy, pericardial disease, congenital heart disease, severe pulmonary hypertension
- •Second-degree type 2 or worse sinoatrial or atrioventricular block without pacemaker therapy
- •right heart failure caused by various diseases, respiratory failure or right heart failure induced by chronic obstructive pulmonary disease
- •overt renal decompensation: serum creatinine\>2.1mg/dl(186umol/L)
- •severe hepatic dysfunction, transaminase or alkaline phosphatase \> 3 times the upper limit of normal
- •Cerebral vascular accident in three months( cerebral infarction, cerebral embolism, cerebral hemorrhage,etc)
- •life expectancy shorter than 6 months
- •patients with a previous or present history of tumour or precancerous lesions confirmed by pathological examination
Arms & Interventions
cardiac sympathetic nerve block
lidocaine or ropivacaine epidural injection
Intervention: Lidocaine
Outcomes
Primary Outcomes
All cause mortality
Time Frame: one year
Secondary Outcomes
- Rehospitalization rate(one year)
Study Sites (1)
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