Heart Failure With Preserved Ejection Fraction Clinical Trial
Official title:
Ventricular-Vascular Coupling in Patients With Heart Failure and Preserved Ejection Fraction
This study will test the hypothesis that increases in ventricular-vascular stiffness can be demonstrated by arterial tonometry and echocardiography in subjects with heart failure with preserved ejection fraction (HF-nlEF)(i.e. normal left ventricular function.) We will also track changes in pulsatile hemodynamics over time in subjects hospitalized with HF-nlEF.
The pathophysiologic mechanisms responsible for the development of heart failure in people
with preserved ejection fraction (i.e. normal left ventricular function) remain poorly
understood. One possible mechanism may be the contribution of increased arterial stiffness
to changes in pulsatile hemodynamic load during ventricular systole, implicating abnormal
ventricular-vascular interactions throughout the cardiac cycle in the pathogenesis of heart
failure with normal ejection fraction.
To investigate changes in ventricular-vascular stiffness in subjects with heart failure and
normal left ventricular function, comparisons will be made between 3 distinct
sub-populations:
- subjects with heart failure and normal ejection fraction
- non-diabetic hypertensive controls
- normotensive controls
;
Observational Model: Cohort, Time Perspective: Prospective
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