The condition to be investigated is isolated left heart failure , also called heart failure with preserved ejection fraction ( HFpEF) with pulmonary hypertension. HFpEF is a clinical syndrome with severe symptoms and high mortality. The presence of PH in HFpEF is associated with increased mortality . Nevertheless there is no evidence based medical treatment regiment for this condition.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: age>18 years PAP >25 mmHg wedge >15 mmHg LVEF >45% NZHA II/IV despite HF therapy Are the trial subjects under 18? no Number of subjects for this age range: 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) yes F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: exclusion criteria severe noncardiac limitation to exercise Other cause of PH besides HFpEF Coronary ischemia or recent (6 months) myocardial infarction. hypotension (90|50) ongoing nitrate therapy left sided valve dysfunction severe liver dysfunction pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Primary objective To investigate wether Sildenafil treatment results in a reduction of pulmonary artery pressure without decrease of cardiac output in HFpEF patients with PH ;Secondary Objective: Secondary objectives To investigate wether Sildenafil treatment results in a reduction of wedge pressure in HFpEF patients with PH. To investigate wether Sildenafil treatment results in improvement of exercise capacity in these patients ( defined as change in VO2max ).;Primary end point(s): reduction of pulmonary artery pressure without decrease of cardiac output in HFpEF patients with PH | — |
Countries
Netherlands