pulmonary hypertension. Primary pulmonary hypertension , other secondary pulmonary hypertension
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: age>18 years PH diagnosis with (sPAP>20) in echocardiograghy LVEF>50% in echo for rule out of LHF steady state of pulmonary hypertension treatment with standard of care(SOC) therapies for at least 1 agent from a list including an endothelin antagonist (ERA), a phosphodiesterase inhibitor (5 PDES), a soluble guanylate cyclase stimulator or a prostacyclin analoge or receptor agonist(SC/inhaled/PO) refers.
Exclusion criteria
Exclusion criteria: left heart failure(LHF) (the second group of PH) severe liver failure or cirrhosis or active liver disease(liver enzymes more than 3 times higher fromthe upper range of lab glomerular filtration rate less than 20 mg/min per 1.73 square meters of body surface according to CKD-EPI formola pregnant or breastfeeding women lack of drug compliance or allergy no gliflozin or corton or lithium use history of persistent urinary tract infection ( twice in the last 6 months)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of people who have high pulmonary blood pressure (diagnosis of blood pressure in echo with PAP>30). Timepoint: Measurement of pulmonary artery pressure at the beginning of the study (before the start of the intervention) and 90 days after the start of empagliflozin. Method of measurement: Echocardiography parameters.;The percentage of people with high pulmonary pressure who have a low walking rate. Timepoint: Measurement at the beginning of the study (before the start of the intervention) and 90 days after the start of empagliflozin. Method of measurement: 6 minute walk distance.;Percentage of people with high pulmonary pressure who have high BNP test. Timepoint: Measurement at the beginning of the study (before the start of the intervention) and 90 days after the start of empagliflozin. Method of measurement: Lab test. | — |
Secondary
| Measure | Time frame |
|---|---|
| 6-minute walk improvement. Timepoint: Comparison of the amount of walking at the beginning of the study (before the start of the intervention) and 90 days after the start of taking the drug. Method of measurement: meter. | — |
Countries
Iran (Islamic Republic of)
Contacts
Bagheiat-allah University of Medical Sciences