Ischemic heart failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 40 to 79; 2. Patients with ischemic heart failure: (1) LVEF less than or equal to 45% measured by echocardiography in modified Simpson method; (2) History of prior myocardial infarction with or without percutaneous coronary intervention (PCI) or/and coronary artery bypass grafting (CABG); (3) Coronary angiography (CAG) or coronary CTA shows more than or equal to 50% stenosis in at least one of the main coronary arteries with or without revascularization, of which the researcher thinks that it is closely related to heart failure; (4) With or without dyspnea, fatigue and fluid retention (edema) etc.; (5) History of heart failure or present with heart failure symptoms for at least 3 months; (6) New York Heart Association (NYHA) Class II to IV; (7) Submitted informed consent.
Exclusion criteria
Exclusion criteria: 1. Acute heart failure or acute exacerbation of chronic heart failure; 2. Those who have one of the following diseases: 3. Acute coronary syndrome within 30 days; 4. Revascularization therapy within 6 months; 5. Uncontrolled hypertension with systolic pressure more than or equal to 180mmHg and/or diastolic pressure more than or equal to 110mmHg; 6. Second degree type 2 or worse sinoatrial /atrioventricular block without implantation of pacemaker or uncontrolled malignant cardiac arrhythmia; 7. Dilated cardiomyopathy ; 8. Hypertrophic obstructive cardiomyopathy; 9. Myocarditis; 10. Pulmonary artery embolism; 11. Severe valvular heart disease; 12. Pulmonary heart disease; 13. Stroke within 6 months; 14. Cardiac resynchronization therapy; 15. Applied diuretics, cardiotonic agents or vasodilators intravenously within 7 days; 16. Severe endocrine diseases such as hyperthyroidism, etc. 17. History of malignant tumor; 18. Hemoglobin (HB) 2 times the upper limit of normal; 20. Serum creatinine > 265umol/L; 21. Mental disorder; 22. Being pregnant, planning for pregnancy or breastfeeding; 23. Suspicious or definite allergy to intervention drugs; 24. Participated in other trials within 2 months; 25. Unable to walk autonomously due to physical disabilities.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 6MWT distance; | — |
Secondary
| Measure | Time frame |
|---|---|
| Composite endpoint: all-cause death, frequency of emergency/re-admission to hospital due to HF;Brain natriuretic peptide (BNP);Echocardiography;Cardiothoracic Ratio(CR);Cardiac function classification, NYHA;Minnesota life quality scale;Scores from the four TCM diagnostic method; | — |
Countries
China