Chronic heart failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. History of chronic heart failure =3 months or clinical heart failure symptoms =3 months, meeting diagnostic criteria from 'Chinese Guidelines for Diagnosis and Treatment of Heart Failure (2024)'. 2. Age 18-80 years. 3. Meeting TCM diagnostic criteria for heart-kidney yang deficiency syndrome. 4. Received =2 weeks of fixed-dose conventional Western medication without vasoactive drugs or intravenous diuretics. 5. No Chinese medicine for heart failure used within 2 weeks before enrollment. 6. Voluntary participation with signed informed consent.
Exclusion criteria
Exclusion criteria: 1. Acute cardiac insufficiency. 2. Cardiogenic shock, life-threatening arrhythmias, sinoatrial/AV block above type II without pacemaker, obstructive/restrictive cardiomyopathy, cor pulmonale, congenital heart disease, significant hemodynamic changes from uncorrected valvular disease, aortic aneurysm/dissection, constrictive pericarditis, myocarditis, cardiac tamponade, pulmonary embolism, progressive unstable angina, or acute myocardial infarction. 3. Severe pulmonary/hepatic/renal dysfunction: ALT/AST/ALP/creatinine >2×ULN; serum potassium >5.5mmol/L; severe endocrine/hematologic diseases. 4. Dysphagia or gastrointestinal disorders affecting drug absorption (e.g., GERD, chronic diarrhea, IBD, intestinal tuberculosis, etc.). 5. Pregnancy/lactation. 6. Malignancy, psychiatric disorders, or uncooperative patients. 7. Participation in other drug trials within 1 month. 8. Unable to complete 6MWT. 9. Investigator-deemed ineligibility.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| NT-proBNP; | — |
Secondary
| Measure | Time frame |
|---|---|
| Minnesota QOL Score;Cardiac Function Classification;6MWD Test;Traditional Chinese Medicine (TCM) Syndrome Efficacy;Cardiac Function Classification;Endpoint Events;Cardiac Chamber/Artery Dimensions; | — |
Countries
China
Contacts
First Affiliated Hospital of Guangzhou University of Chinese Medicine