Heart failure wtih combined postcapillary pulmonary hypertension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: [1]. Unrestricted gender; [2]. Age = 18 years and = 80 years; [3]. Subjects with a diagnosis of heart failure and NYHA cardiac function class II to IV; [4]. The diagnostic criteria for combined postcapillary pulmonary hypertension was met by right heart catheterization (mPAP > 20 mmHg and PAWP > 15 mmHg and PVR > 2 WU); [5]. Signing the informed consent form (ICF) voluntarily and being able to comply with the study's treatment protocol, visits, laboratory tests and other requirements.
Exclusion criteria
Exclusion criteria: [1]. Those with co-morbid thyroid disease requiring treatment; [2]. Combined with congenital heart disease; [3]. Co-existing acute exacerbations of chronic obstructive pulmonary disease; [4]. Pregnant or pregnant in preparation; [5]. Participants with pre-existing symptomatic hypotension or basal blood pressure systolic (SBP) = 90 mmHg; [6]. Subjects with eGFR <15 mL/min/1.73 m2 at initiation of therapy or on dialysis; [7]. Participants who are preparing for or taking a phosphodiesterase type 5 (PDE5) inhibitor (e.g. sildenafil); [8]. Participants who, in the judgment of the investigator, are unable to complete the study or to comply with the requirements of the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Variation of pulmonary vascular resistance; | — |
Secondary
| Measure | Time frame |
|---|---|
| Variation of 6-minute walking test;Incidence of major adverse events;Cardiovascular mortality;Variation of NT-proBNP;Changes of cardiac color Doppler parameters;Change in mPAP;Change in PAWP;Change in CO; | — |
Countries
China
Contacts
Affiliated Hospital of Guangdong Medical University