Heart failure after acute myocardial infarction
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: (1) Age: 30-85 years old, male and female. (2) On the basis of meeting the Western diagnostic criteria for heart failure, 30% < left ventricular ejection fraction = 50% or NT-proBNP level =600 ng/L; (3) Those who meet the heart failure Qi deficiency and blood stasis and kidney deficiency syndrome; (4) Medical record requirements: chronic heart failure caused by myocardial infarction, at least 3 months of chronic heart failure clinical manifestations (patients in the early stage of heart failure, 3-6 months of diagnosis is appropriate); (5) The New York Heart Association (NYHA) has a heart function rating of II to III and has received optimal treatment at a fixed dose for at least 2 weeks; (6) Voluntarily participate in this study and sign the informed consent.
Exclusion criteria
Exclusion criteria: (1) Patients with chest pain caused by other diseases, such as non-coronary heart disease, digestive system disease, chest wall disease, lung disease, somatic symptoms caused by mental disease, increased myocardial oxygen demand, such as high temperature, hyperthyroidism, hypertension, severe anemia, hypoxemia, etc.; (2) Combined with other causes affecting ECG ST-T changes, such as pre-excitation syndrome, ventricular pacing rhythm, digitalis drug influence, electrolyte disturbance, etc.; (3) Patients with severe heart disease, severe cardiopulmonary insufficiency, and severe heart failure; (4) Patients with a history of cerebrovascular disease within 1 year before screening; (5) blood creatinine exceeds the upper limit of normal value or any item of ALT and AST exceeds the upper limit of normal value by 3 times; (6) Women during pregnancy or within half a year to prepare for pregnancy, breastfeeding women; (7) Persons with mental illness or cognitive disabilities; (8) Suspected or confirmed to have a history of alcohol addiction, drug abuse; (9) Participants who had participated in other clinical trials within 30 days before screening; (10) Participants considered unsuitable for this clinical trial by the investigator.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Left ventricular end-systolic volume;Left ventricular end-diastolic volume;Left ventricular ejection fraction; | — |
Secondary
| Measure | Time frame |
|---|---|
| Plasma NT-proBNP;ST2 level;The six-minute walk test;NYHA cardiac function classification;TCM syndrome efficacy quantitative evaluation score;Minnesota Heart failure Quality of Life Questionnaire scores;Hamilton Anxiety and Depression Scale score; | — |
Countries
China
Contacts
Guang'anmen Hospital, China Academy of Chinese Medical Sciences