Heart failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Participate voluntarily and sign the informed consent form. (2) Age 18 to 90 years old, male or female. (3) Hospitalization for acute heart failure, defined as including all of the following from the time of presentation (including emergency and outpatient) to the end of screening with any test results meeting all of the following criteria: ? Symptoms and/or signs of heart failure present at screening and randomization; ? BNP =350 pg/mL or NT-proBNP =1400 pg/mL. (4) Have a clear history of ischemic heart disease, including history of myocardial infarction, history of percutaneous coronary intervention (PCI), history of cardiac bypass (CABG), coronary angiography or coronary CT showed coronary stenosis = 70% of patients. (5) Left ventricular ejection fraction (LVEF) <50% within the first half year of randomization.
Exclusion criteria
Exclusion criteria: 1. Patients who are allergic to levosimendan or any other excipients; 2. Patients with non-ischemic heart failure; 3. Systolic blood pressure =130 beats/min before randomization; 5. Uncorrectable serum potassium 5.5mmol/L; 6. Mechanical obstructive diseases that significantly affect ventricular filling or/and ejection function; 7. Patients with severe liver and kidney (creatinine clearance 38.5 degree (oral body temperature or equivalent), sepsis, and active infection requiring IV antibiotic treatment; 9. Patients with a history of torsades de pointes (TdP).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Natriuretic peptide; | — |
Secondary
| Measure | Time frame |
|---|---|
| Troponin;NYHA Classification;eGFR;Types and doses of drug therapy;Heart failure readmission;Cardiovascular death;All-cause death; | — |
Countries
China
Contacts
Zhongshan Hospital, Fudan University