Patients with aortic valve stenosis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1 Patients between 20 and 95 years old. 2 Out patients and inpatients with aortic valve stenosis. 3 Patients with hemodynamically stable condition with standard heart failure treatment including beta blocker, ACE inhibitor, ARB, and diuretics. 4 Patients who can tolerate 5 minutes of leg positive pressure stress echocardiography. 5 Patients with written informed consent. 6 patients whom judged to be able to survaive more than one year.
Exclusion criteria
Exclusion criteria: 1) Patients with significant hypotension (<90/50mmHg) or uncontrolled hypertension (>170/90mmHg). 2) Patients with acute illness within 3 months. 3) Patients with NYHA 4 heart failure. 4) Patients with unstable angina pectoris or more than 75% (AHA craiteria)coronary artery stenosis. 5) patients with more than moderate valvular regurgitation. 6) Patients with severe hepatic diseases including fulminant hepatitis, liver cirrhosis, or hepatic tumor. 7) Patients with severe renal diseased or those with hemodialysis. 8) Patients who experienced malignancy within 5 years. 9) Pregnant women. 10) Patients with venous thrombosis or the history of venous thrombosis. 11) Patients with leg trauma and dermopathy or the history of those diseases.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Combined endpoint of admission due to heart failure, death from heart failure, sudden cardiac death, and fatal ventricular arrhythmias. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Change in NYHA functional class from baseline. 2) Changes in left ventricular ejection fraction, left ventricular end-diastolic, and end-systolic volume from baseline. 3) changes in contractile reserve and diastorlic reserve from baseline. 4) Changes in right ventricular and left atrial function from baseline using speckle-tracking echocardiography. | — |
Countries
Japan
Contacts
Kobe university hospital Division of cardiology