RecruitingNCT06844032

Predictors of Poor Prognosis in HFpEF

Clinical, Hemodynamic and Neurohumoral Predictors of Poor Prognosis in Heart Failure with Preserved Ejection Fraction


Sponsor

National Medical Research Center for Cardiology, Ministry of Health of Russian Federation

Enrollment

400 participants

Start Date

Jan 31, 2022

Study Type

OBSERVATIONAL

Conditions

Summary

Patients with HFpEF who have undergone meticulous clinical and instrumental evaluation (including diastolic exercise testing) between 2013 and 2020, will be followed up for at least 3 years.


Eligibility

Min Age: 40 Years

Inclusion Criteria4

  • Signed and data informed consent;
  • New York Heart Association (NYHA) class II-III heart failure;
  • Left ventricular ejection fraction \> 50%;
  • Elevated LV filling pressures assessed by echocardiography at rest or at peak exercise.

Exclusion Criteria11

  • Evidence of myocardial ischemia during stress echocardiography;
  • Significant lesions of the main coronary arteries;
  • Genetic forms of HFpEF (HCM, amyloidosis, Fabry disease, glycogen storage diseases etc.);
  • Peripartum cardiomyopathy, chemotherapy-induced cardiomyopathy, viral myocarditis, isolated right-sided HF without left-sided structural disease, constrictive pericarditis, significant pericardial effusion;
  • Significant lung disease (severe lung disease requiring home oxygen or chronic oral steroid therapy);
  • Primary pulmonary artery hypertension;
  • Significant left-sided structural valve disease;
  • Anemia (Hb \< 100 g/L);
  • Impaired renal function, defined as estimated glomerular filtration rate (eGFR) \<30 mL/min/1.73 m2 (CKD-EPI);
  • Non-cardiac conditions that complicate/exclude participation in the study;
  • Exacerbation of heart failure less than 3 months prior to study entry.

Locations(1)

Federal State Budgetary Institution NATIONAL MEDICAL RESEARCH CENTRE OF CARDIOLOGY NAMED AFTER ACADEMICIAN E.I.CHAZOV. of the Ministry of Health of the Russian Federation

Moscow, Russia

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NCT06844032


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