Heart failure with obstructive sleep apnea syndrome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Voluntarily participate, understand and sign the informed consent; 2. Symptomatic chronic heart failure, NYHA class II-IV, the diagnosis of chronic heart failure should refer to the 2016 ESC Heart Failure Guidelines and the 2018 Chinese Heart Failure Guidelines; the condition is relatively stable, and no intravenous drug treatment is required; 3.LVEF=45ml/min/1.73m2; 7. OSAHS was diagnosed according to the "2016 Edition of the Diagnostic Guidelines for Obstructive Sleep Apnea in Adults"; AHI>=15 times/h.
Exclusion criteria
Exclusion criteria: 1. Has participated in other clinical investigators; 2. Hemodynamic instability; 3. Allergic to the drug or its components; 4. Acute myocardial infarction; 5. Active liver disease or severe liver insufficiency; 6. Known active infection or severe blood disease or endocrine dysfunction; 7. History of COPD and asthma or other serious lung diseases; 8. History of stroke, peripheral or central nerve abnormalities, cerebrovascular disease; 9. Pregnant and lactating women; 10. Glycated hemoglobin (HbA1c) >= 7.0%; 11. Previous use of dapagliflozin.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Respiratory Disorder Index; | — |
Secondary
| Measure | Time frame |
|---|---|
| Respiratory Disorder Index decreased by 20% in the proportion of patients;Respiratory Disorder Index decreased by 50% in the proportion of patients;Epworth Somnolence Scale;ejection fraction;left ventricular end-diastolic diameter;Serum B-type natriuretic peptide level;renal function;liver function;electrolyte;blood routine;The Minnesota living with heart failure questionnaire;European Five-dimensional Health Scale;inflammatory cytokine;Lowest oxygen saturation at night; | — |
Countries
China
Contacts
Zhongda Hospital, Affliated to Southeast University