Heart Failure With Reduced Ejection Fraction Clinical Trial
— IvabradineOfficial title:
The Impact of Ivabradine Administration on Clinical Outcome and Biomarkers of Decompensated Heart Failure
Verified date | October 2018 |
Source | Ain Shams University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The aim of the work is to Evaluate the efficacy, quality of life and safety of early addition of ivabradine to B-blocker in reduced EF heart failure patients after acute decompensation compared to the standard treatment.
Status | Active, not recruiting |
Enrollment | 50 |
Est. completion date | December 23, 2019 |
Est. primary completion date | December 23, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: 1. Patient with acute heart failure either newly diagnosed or decompensated heart failure after stabilization 2. Patients > 18 years old 3. Left ventricular ejection fraction less than 40 % of presumed irreversible etiology 4. Clinically stable 24-48 hours after admission 5. Sinus rhythm with heart rate above 70 bpm 6. No previous treatment with ivabradine Exclusion Criteria: 1. Patients less than 18 years. 2. Arterial fibrillation before inclusion. 3. Ventricular dysfunction due to acute event (Myocarditis, AMI). 4- cardiogenic shock 5. Patients are taking drug interact with ivabradine. 6- carrier or candidate for pacemaker, heart transportation, cardiac surgery or other cardiovascular procedure |
Country | Name | City | State |
---|---|---|---|
Egypt | El Demerdash Hospital | Cairo |
Lead Sponsor | Collaborator |
---|---|
Ain Shams University | Sadat City University |
Egypt,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | serum Pro-BNP level | Elevated NT-proBNP parallel HF disease severity and it is suggestive of worse clinical outcomes and mortality in HF | 3 months | |
Secondary | ST2 serum level | Repeated ST2 measurements appeared to be a strong predictor of outcome especially in patients with acute HF. Also, ST2 levels in patients with acute HF are significantly higher than in patients with chronic HF and fall rapidly over days to weeks during HF treatment. This lack of reduction in ST2 level during acute HF treatment is predictive of mortality. So, persistently high levels of ST2 were associated with increased mortality risk | 3 months | |
Secondary | The effect on patient quality of life using Minnesota Living with Heart Failure Questionnaire | The questionnaire is comprised of 21 important physical, emotional and socioeconomic ways heart failure can adversely affect a patient's life. the patient marks a 0 (zero) to 5 scale to indicate how much each itemized adverse of heart failure has prevented the patient from living as he or she wanted to live during the past 4 weeks. it is simply scored by summation of all 21 responses.The simple sum of the responses that ranges from 0 to 105 is a measurement of heart failure severity as indicated by its adverse effect on the respondent's life during the past month | 3 months of follow-up. | |
Secondary | NYHA class assessment | This classification provides a simple way of classifying the extent of heart failure. It classifies patients in one of four categories based on their limitations during physical activity; the limitations/symptoms are in regard to normal breathing and varying degrees in shortness of breath | 3 months | |
Secondary | Heart rate | Measuring heart rate | 3 months | |
Secondary | Left ventricular ejection fraction assessment | Two-dimensional echocardiogram coupled with Doppler flow studies will be performed | 3 months | |
Secondary | Blood pressure | Measuring systolic and diastolic blood pressure | 3 months |
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