Heart failure reduced ejection fraction. Heart failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Expressed readiness to comply with all study procedures and availability for the duration of the study Provision of dated and signed informed consent form Age 18-65 years A diagnosis of heart failure reduced ejection fraction (LVEF= 40%) due to ischemic or non-ischemic etiology Optimal guideline directed medical therapies including angiotensin-converting enzymeinhibitors, ß-blockers, aldosterone antagonists, and diuretics for at least 3 months NewYork Heart association function class (NYHA Class) II-III
Exclusion criteria
Exclusion criteria: History of hospitalization for any cause including acute heart failure in preceding month presence Chronic renal failure or dialysis presence of chronic hepatic failure presence of neuromuscular disorders Presence of severe chronic pulmonary disease The patients who have pace maker, intracardiac defibrillator (ICD)or cardiac resynchronization therapy(CRT) psychiatric conditions inability to perform 6 minutes walk test Cardiomyopathy secondary to cancer therapy Presence of any hematologic , Rheumatologic disorder
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| NewYork Heart Association functional class, Physical performance( 6 minutes walk test distance). Timepoint: Before intervention and after completion of intervention. Method of measurement: 1-New York heart association(NYHA) measurement :NYHA scores range from I (no symptoms of heart failure ) to IV (symptoms at rest) 2- Physical performance of patients was assessed using the 6-minute walk test (6MWT) according to the protocol of Guyatt and colleagues. | — |
Secondary
| Measure | Time frame |
|---|---|
| Serum level of N terminal pro -brain natreuretic peptide. Timepoint: before intervention and at the intervention completion. Method of measurement: enzyme immunoassay.;Quality of life. Timepoint: before intervention and at the intervention completion. Method of measurement: Iranian quality of life questionnaire (IHF-QOL).;Echocardiographic data: left ventricular ejection fraction ,Left ventircular end diastolic and systolic dimentions,left ventricular global longitudinal strain. Timepoint: before intervention and at the intervention completion. Method of measurement: Echocardiographic machine. | — |
Countries
Iran (Islamic Republic of)
Contacts
Islamic Azad University