Advanced Heart Failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age: 18 to 75 years old, gender not restricted; 2. Patients with NYHA cardiac function classification of III or IV grade ischemic heart failure after the maximum tolerated dose of guideline-directed medical therapy (GDMT); 3. Cardiac magnetic resonance LVEF <= 35%; 4. Coronary angiography meets the surgical indications for CABG; 5. Voluntary participation and signing of informed consent form.
Exclusion criteria
Exclusion criteria: 1. Acute viral myocarditis; 2. Acute phase of myocardial infarction ( 100 U/L; 9. Having any precancerous lesions that require no treatment or need active monitoring; 10. Those who have suffered from malignant tumors within the previous 5 years. 11. Those who are scheduled to undergo other cardiac surgeries at the same time (excluding ventricular aneurysm resection and left atrial resection/sealing). 12. Those with contraindications to taking immunosuppressants. 13. Those with MRI contraindications. 14. Those with contraindications for CABG surgery. 15. Women who are pregnant, breastfeeding, or have positive blood pregnancy tests. 16. Those with a fertility plan within one year. 17. Those with uncontrolled systemic diseases. 18. Other individuals assessed by the researchers as not suitable to participate in this clinical trial.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 6-Minute Walk Distance (6MWD); | — |
Secondary
| Measure | Time frame |
|---|---|
| All-Cause Mortality and Cardiovascular Mortality at 12 Months Postoperatively;6-Minute Walk Distance (6MWD) at 6 Months Postoperatively;Change in NYHA Classification Relative to Baseline at 12 Months Postoperatively;Heart Failure Worsening at 12 Months Postoperatively;Change in Minnesota Living with Heart Failure Questionnaire (MLHFQ) Score Relative to Baseline at 12 Months Postoperatively;Change in Short Form-36 Health Survey (SF-36) Score Relative to Baseline at 12 Months Postoperatively;Change in Myocardial Perfusion Parameters Relative to Baseline at 12 Months Postoperatively;Change in Cardiac Structural Parameters (LVEF, LVESVI, LVEDVI, SV, Scar Size) Relative to Baseline at 12 Months Postoperatively;Change in NT-proBNP Level Relative to Baseline at 12 Months Postoperatively;Abnormal Increase in Tumor Markers Relative to Baseline at 12 Months Postoperatively; | — |
Countries
China
Contacts
Teda International Cardiovascular Hospital, Chinese Academy of Medical Sciences Peking Union Medical College