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Cardiomyopathy, Hypertrophic clinical trials

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NCT ID: NCT01873976 Active, not recruiting - Clinical trials for Hypertrophic Cardiomyopathy

Cardiac Biomarkers in Pediatric Cardiomyopathy (PCM Biomarkers)

Start date: June 2013
Phase:
Study type: Observational

Cardiomyopathy is a disease of the heart muscle. It is rare, but it can be serious. Cardiomyopathy in children can result in death, disability, heart transplantation or serious heart rhythm disorders. Natural substances in the blood called cardiac biomarkers can be measured in the laboratory and could be a less invasive way (compared to echocardiograms or MRIs) to detect heart dysfunction in children with cardiomyopathy. Little is known about how useful and valid cardiac biomarkers are in the diagnosis and determination of the symptoms in children with cardiomyopathy. The long-term goal of this project is to study how helpful measuring cardiac biomarkers in children with cardiomyopathy is to their doctors in managing the care of these patients as well as improving their overall health. Measures of these cardiac biomarkers could help doctors in determining how best to care for a child with cardiomyopathy, including when to consider heart transplantation as a treatment option.

NCT ID: NCT01873963 Completed - Clinical trials for Hypertrophic Cardiomyopathy

Genotype-Phenotype Associations in Pediatric Cardiomyopathy (PCM GENES)

Start date: April 2013
Phase:
Study type: Observational

Cardiomyopathy in children is a serious disease which can result in death, disability, heart transplantation or serious heart rhythm disorders. Doctors know little about the causes of cardiomyopathy but would like to learn more. In fact, up to 50-75% of cases in children have no known cause. For this reason, the purpose of this study is to identify genes that cause cardiomyopathy or that influence how people with cardiomyopathy do over time. These findings could improve disease prevention, surveillance, early management, and prognosis.

NCT ID: NCT01792960 Completed - Clinical trials for Familial Hypertrophic Cardiomyopathy

Registry and Prevalence of Gene Mutation in Korean Patients With Familial Hypertrophic Cardiomyopathy

Start date: February 2013
Phase: N/A
Study type: Observational [Patient Registry]

Set the Korean Familial Hypertrophic Cardiomyopathy (KFHC) registry to study the prevalence of gene mutations in Korean patients with familial hypertrophic cardiomyopathy

NCT ID: NCT01736566 Completed - Clinical trials for Hypertrophic Cardiomyopathy or Dilated Cardiomyopathy

A Pilot Project Exploring the Impact of Whole Genome Sequencing in Healthcare

Start date: December 2011
Phase: N/A
Study type: Interventional

The MedSeqâ„¢ Project seeks to explore the impact of incorporating information from a patient's whole genome sequence into the practice of clinical medicine. In the extension phase of MedSeq we are attempting increase our participant diversity by increasing targeted enrollment of African/African American patient participants.

NCT ID: NCT01729702 Completed - Clinical trials for 2- Obstructive Hypertrophic Cardiomyopathy

Neurohormonal Parameters in Hypertrophic Cardiomyopathies

REEF-CMH
Start date: April 2009
Phase: N/A
Study type: Interventional

The primary purpose of this study is to demonstrate that changes in plasma levels of circulating neurohormones (mainly BNP and NT-proBNP), measured at rest and post-exercise correlate with exercise functional limitation (assessed by exercise peak VO2) and exercise ultrasonic parameters (as left ventricular filling, obstruction, and mitral regurgitation)

NCT ID: NCT01721967 Completed - Clinical trials for Hypertrophic Cardiomyopathy

Ranolazine for the Treatment of Chest Pain in HCM Patients

RHYME
Start date: November 2012
Phase: Phase 4
Study type: Interventional

The purpose of RHYME is to evaluate the safety and efficacy of ranolazine in Hypertrophic Cardiomypathy patients with chest pain or dyspnea despite treatment with standard medical therapy. This is a small, pilot, open-label (non-randomized) study of an approved drug for the treatment of angina in a novel patient population (adult patient population with hypertrophic cardiomyopathy).

NCT ID: NCT01696370 Recruiting - Clinical trials for Hypertrophic Cardiomyopathy

Trimetazidine Therapy in Hypertrophic Cardiomyopathy

Start date: April 2012
Phase: Phase 2
Study type: Interventional

Hypertrophic cardiomyopathy (HCM) is a common inherited heart condition that causes breathlessness, chest pain and fatigue. There are few treatments available. The investigators have recently shown that a drug called perhexiline reduced symptoms and improved exercise capacity in patients with HCM. This change appears to be driven by alterations in myocardial energy metabolism. The aim of this trial is to test a similar drug, trimetazidine, in a group of symptomatic patients with non-obstructive HCM. HYPOTHESIS: trimetazidine will improve symptoms, peak oxygen consumption, cardiac function and arrhythmia burden in medically refractory symptomatic patients with non-obstructive HCM.

NCT ID: NCT01631006 Completed - Clinical trials for Obstructive Hypertrophic Cardiomyopathy

Effects of Continous Positive Airway Pressure (CPAP) in Hypertrophic Cardiomyopathy

CPAPandHCM
Start date: January 2012
Phase: N/A
Study type: Interventional

Hypertrophic cardiomyopathy (HCM) is the most common genetic cardiac disease, is a cause of disability including heart failure, atrial fibrillation, and sudden death, with an annual mortality varying from 1% to 6%. Obstructive sleep apnea (OSA) is extremely common among patients with established cardiovascular disease, including hypertension and atrial fibrillation and when present may contribute to worse cardiovascular outcome. Although patients with HCM do not necessarily have typical characteristics of patients with OSA, such as obesity and increasing age, there is recent evidence that OSA is extremely common among patients with HCM, with a prevalence ranging from 32% to 71%. The presence of OSA among patients with HCM is independently associated with worse structural and functional impairment of the heart, including atrial and aorta enlargement, worse New York Heart Association functional class, and worse quality of life. Therefore, the recognition and treatment of OSA is a new area of research that may impact in the management of patients with HCM.

NCT ID: NCT01623245 Completed - Cardiac Amyloidosis Clinical Trials

Prevalence of Transthyretin Amyloidosis in Hypertrophic Cardiomyopathy

Amylo
Start date: June 2012
Phase:
Study type: Observational

Cardiac amyloidosis are related to the accumulation of fibrillar proteins in the extracellular leading to disruption of the cardiac tissue architecture. Amyloidosis in transthyretin (TTR) are the most common hereditary amyloidosis but remain poorly studied at heart. This is serious and deadly. The prevalence of TTR amyloidosis is probably underestimated in hypertrophic cardiomyopathy (HCM) often of unknown etiology because of the lack of systematic implementation of myocardial biopsy because of their side effects.

NCT ID: NCT01614717 Completed - Clinical trials for Hypertrophic Cardiomyopathy With Obstruction

Triple Chamber Pacing in Hypertrophic Obstructive Cardiomyopathy (HOCM) Patients - TRICHAMPION STUDY

TRICHAMPION
Start date: July 2014
Phase: N/A
Study type: Interventional

This investigation is a prospective, randomized, single-blinded and multicenter design. The purpose of this study is to evaluate the benefit of atrial-synchronous biventricular (BiV) pacing in severely symptomatic hypertrophic obstructive cardiomyopathy (HOCM) patients with severe Left Ventricular Outflow Tract (LVOT) obstruction implanted with a Cardiac Resynchronization Therapy - Pacing (CRT-P) device. Randomization - Implant will be performed (CRT-P). - Patients will be randomized 1:1 to either Treatment Group (Optimized Biventricular (DDD) pacing) or Control Group (Back-up Atrial (AAI) pacing) during the first 12 months: - Treatment Group. The patient´s device is programmed to optimized DDD BiV pacing - Control Group. The patient´s device is programmed to back-up pacing AAI. - After 12 months, the patients initially randomized to the Treatment Group (Optimized DDD Pacing) will continue in the same group. The patients initially randomized to Control Group (AAI Back-up Pacing) will be changed to the Treatment Group (Optimized DDD Pacing). And all the patients will be followed 12 months more.