MedPath

Energetic Abnormalities in Heart Failure With Preserved Ejection Fraction

Conditions
Heart Failure, Diastolic
Registration Number
NCT00628082
Lead Sponsor
University Hospital Birmingham
Brief Summary

Up to half of all patients with heart failure are found to have normal pumping function of the heart muscle, but show abnormalities in the way the heart muscle relaxes and fills with blood. These patients often have high blood pressure, and tend to have stiff arteries and stiff heart muscle. We wish to test the hypothesis that these patients have abnormal energy stores in their heart muscle.

Detailed Description

Not available

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
50
Inclusion Criteria
  • Clinical features consistent with heart failure
  • LVEF ≥ 50%, with no evidence of significant valvular disease, no hypertrophic cardiomyopathy, and no evidence of pericardial constriction
  • A peak VO2 < 80% predicted, with a pattern of gas exchange on metabolic exercise testing indicating a cardiac cause for limitation
Exclusion Criteria
  • Objective evidence of lung disease on formal lung function testing
  • Reversible myocardial ischaemia on contrast-enhanced myocardial stress
  • Echocardiography, and evidence of exercise-induced mitral regurgitation
  • Obesity (BMI >35) or a locomotor cause for exercise limitation

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Complete echocardiographic assessment to assess resting diastolic function1 DAY
Assessment of resting large artery function1 DAY
Multiple Gated Acquisition Scan1 DAY
Cardiac Magnetic Resonance Spectroscopy1 DAY
Metabolic Exercise Testing (VO2max)1 DAY
Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

University of Birmingham

🇬🇧

Birmingham, United Kingdom

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