Effect of Blood Pressure Reduction in Patients With Chronic Heart Failure - Randomized, Double-blind, Placebo-controlled Trial
Overview
- Phase
- Phase 2
- Intervention
- Hydralazine/amlodipine
- Conditions
- Heart Failure
- Sponsor
- University of Sao Paulo
- Enrollment
- 21
- Locations
- 1
- Primary Endpoint
- Any cause mortality
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
Previous studies have demonstrated a direct association between blood pressure level and cardiovascular risk. However in patients with heart failure this association is considered controversial. The aim of this study is to evaluate the effect of the reduction of blood pressure in patients with heart failure. The investigators will examine the effects of this intervention over mortality, quality of life, and cardiac function.
Investigators
Edimar Alcides Bocchi
Heart Failure Team Directos
University of Sao Paulo
Eligibility Criteria
Inclusion Criteria
- •stable chronic heart failure for at least 6 months
- •ejection fraction of 40% or less, as measured by transthoracic echocardiography
- •optimal clinical treatment for chronic heart failure according to current international guidelines.
Exclusion Criteria
- •patient refusal
- •rheumatic or degenerative valvular disease
- •restrictive cardiomyopathy
- •evidence of myocardial ischemia
- •alcohol or drug use
- •malignant neoplasm
- •active infection
- •surgical intervention in the 3 previous months
- •lactation, childbearing or childbearing potential.
- •pulmonary embolism in the 6 previous months
Arms & Interventions
Intervention
Intervention: Hydralazine/amlodipine
Control
Intervention: Placebo
Outcomes
Primary Outcomes
Any cause mortality
Time Frame: 12 months after randomization
Unplanned hospital admission from any cause
Time Frame: 12 months after randomization
Secondary Outcomes
- Cardiovascular death(12 months after randomization)
- Acute myocardial ischemia(12 months after randomization)
- Stroke(12 months after randomization)
- Symptomatic hypotension(12 months after randomization)
- Renal function(12 months after randomization)
- Peak exercise oxygen consumption(12 months after randomization)
- Quality of life(12 months after randomization)