Heart failure with diastolic dysfunction and comorbid diabetes.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 70y/o or older male and female T2DM diastolic dysfunction positive NYHAI-II No previous Hx of hospitalization due to heart failure No hypertension (SBP less than 150 and DBP less than 90) Approved informed consent
Exclusion criteria
Exclusion criteria: MACE within 3 months LVEF<50% Comorbid atrial fibrillation MR at more than moderate grade Patients taking DPP4i or GLP-1 analog ESRD or HD patient T1DM Malignancy within 5 years Uncontrolled arrhythmia Encontralled hypertension Expecting hospitalization within 6 months Insulin treatment Indication of cardiac surgery liver injury Autoimmune disease Pulmonary fibrosis Unstable AP or coronary spastic angina ASO (>Fontaine grade II) Contraindication for MRI Drug allergy to sitagliptin and any antidiabetic drug.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in LV early filling by use of CMR. | — |
Secondary
| Measure | Time frame |
|---|---|
| MACE incidence of hospitalization by heart failure Changes in E/e' Changes in NT-proBNP Changes in endothelial function Changes in circulating DPP4 activity and biomarkers | — |
Countries
Japan
Contacts
Nagoya University Cardiology