DRKS00015615招募中不适用
Study to analyze parameters of internal and external cardiac power, cardiac output and aortic compliance using cardiac magnet resonance imaging in patients with heart failure - EMPATHY-HF
Charité Campus Virchowklinikum Medizinische Klinik mit Schwerpunkt Kardiologie0 个研究点目标入组 90 人开始时间: 2018年10月22日最近更新:
适应症
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 90
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 45 Years 至 one(—)
- 性别
- All
入选标准
- •must provide written informed consent
- •Age >45 years
- •Signs and symptoms of heart failure NYHA II-IV (at least 30 days prior to screening)
- •in clinically stable condition defined as no i.v. therapy with diuretics or inotropics and no hospitalization within the last 7 days
- •unchanged medication at least 7 days prir to screening
- •must have health insurance (to cover treatment costs arising from incidental findings on MRI)
- •Sub-group HFpEF:
- •HFpEF (according to Paulus et al.) - Baseline-Echocardiography with the following findings:
- •Ejection Fraction (EF) =50 und
- •NT-proBNP = 220 pg/ml while in sinus rhythm at screening
- •LAVI (left atrialer volume index) > 34 ml/m2
- •E/e´ > 13 (medial or lateral mitral anulus)
- •LV-Hypertophy: septal wall thickness or posterior wall thickness = 13mm
- •Sub-group HFrEF:
- •EF <40% in echocardiography during screening
- •individualized optimized and unchanged (at least 7 days prior to screening ) heart failure therapy (must include Beta-Blocker, ACE-Inhibitor/ AT1-Inhibitor, Aldosteron-Antagonist as long as no contraindicationst)
- •EF <40% in imaging within 90 days of screening.
- •Sub-group HFmrEF
- •EF 40-49%
- •NT-proBNP = 220 pg/ml while in Sinus rhythm on screening
- •LAVI (left atrialer volume index) > 34 ml/m2
- •E/e´ > 13 (medial or lateral mitral anulus)
- •LV-Hypertophy: septal wall thickness or posterior wall thickness = 13mm
- •Sub-group healthy controls:
- •No clinically relevant structural heart disease
- •No symptoms of heart failure
- •No symptoms of CAD
- •No relevant arrhythmia
- •No valve defects >I°
- •LVEF = 55%
- •must provide written informed consent
- •Age >45 years
- •must have health insurance (to cover treatment costs arising from incidental findings on MRI)
排除标准
- •Contractual incapacity
- •Atrial Fibrillation
- •symptomatic CAD with Angina pectoris > CCS II
- •recent PCI within 4 weeks or planned PCI/CABG-surgeryI
- •myocardial infarction within the last 3 months
- •stroke within the last 3 months
- •Relevantes valve defect > II°
- •hypertrophic obstructive or infiltrative cardiac disease (z.B.: HOCM, Amyloidose)
- •complex congenital heart defect
- •ongoing myokarditis
- •significant pulmonary disease in investigators discreation
- •significant arrhythmia in investigators discretion
- •persistent atrial fibrillation
- •planned changes of concomitant medication
- •planed heart transplantation, status post heart transplantation
- •Cardiac Resynchronisation Therapy (CRT) begun within last 3 months
- •ICD/Pacemaker implanted within last 4 weeks
- •Uncontrolled Hyper-/Hypotension (sysBP > 180 mmHg/ diasBP > 95mmHg)
- •Enrolled in rehabilitation program
- •known malignant disease limiting life expectancy <1 year
- •Anemia, Hb < 10 mg/dl
- •Pregnant or breastfeeding women
- •untreated clinically significant disease of the thyroid
- •Additional MRI-contraindications
- •-history of claustrophobia
- •-history of hardness of hearing >30 dB
- •-history of tinnitus
- •-implanted pump-devices
- •-recently implanted joint prothesis
- •-metal coils within the brain
- •-Neurostimulators
- •-Cochlea-Implantation
- •-other, older ear implants
- •-magnetically attached teeth prothesis
- •-Metalsplinters from shells within the body
- •-history of neurosurgery using metal clips
- •-early pregnancy <3 months
- •Patients with contrast medium allergy or impaired renal function (GFR<40ml/min/1,73m²KO)
- •unstable cardiorespiratory state within last 4 weeks
- •i.v. administration of diuretics or inotropics within 7 days prior to screening
- •myocardial infarction within 4 days prior to inclusion
研究者
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