Patients hospitalized for heart failure and central sleep apnea syndrome in the Cardiovascular Medicine Department, Fondazione G. Monasterio, Pisa MedDRA version: 14.1 Level: SOC Classification code 10007541 Term: Cardiac disorders System Organ Class: 10007541 - Cardiac disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Systolic heart failure (echocardiographic evidence of left ventricular ejection fraction lower than 50%) Central sleep apnea syndrome with an AHI >15 4 days of hospitalization Ability to spontaneously express informed consent Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: Haemodynamic instability following myocardial infarction, unstable angina, cardiac surgery or major arrhythmias in the 3 months preceding the study Neurologic disorders or use of neurotropic drugs with potential effects on the respiratory drive Major psychiatric disorders including alcohol abuse or drug addiction Creatine clearance < 20 ml/min; Pregnancy Administration of every experimental drug within the 30 days before recruitment in the current study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary end point(s): Number of apnoea/hypopnoea per hour (AHI: apnea hypopnoea index) at cardiorespiratory monitoring;Main Objective: To evaluate the clinical effects of carbon dioxide administration using a dynamic flow (cosine shape) in heart failure patients with central sleep apnea syndrome. This is a phase 2 trial evaluating the treatment efficacy.;Secondary Objective: Neurohormonal status and, in particular, adrenergic drive assessment Arrhythmias at electrocardiographic monitoring Sleep architecture Sleep quality and daytime fatigue Cardiac haemodynamics | — |
Countries
Italy
Contacts
FONDAZIONE TOSCANA GABRIELE MONASTERIO ENTE OSPEDALIERO E DI RICERCA CNR/REGIONE TOSCANA-OSPEDALE G.PASQUINUCCI MASSA PR