chronic heart failure
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Diagnosed with heart failure according to the ESC 2016 guidelines for the diagnosis and treatment of acute and chronic heart failure CRT-p or CRT-D is needed according to the JCS guidelines for the diagnosis and treatment of acute and chronic heart failure; patients who meet all the following criteria: Receiving optimal medical therapy, NYHA III/IV, sinus rhythm, LVEF(Left ventricular ejection fraction) less than 35%, Left bundle branch block (LBBB) with QRS interval greter than 130 msec Patients who has already implanted with CTT-P/CRT-D and also CLS is inactivated: patients who meet all the following criteria: NYHA II/III/IV, LBBB was documented at device was implated, medication was not changed last 3 months prior to enrollment Age 20 years or more Mental inability to perticipate
Exclusion criteria
Exclusion criteria: Used at enrollment or planned during study mechanical circulatory suppoft, including intraaortic balloon pumping, percutaneous cardiopulmonary suport, continuous hemodiafiltration, left ventricular assist device Acute coronary syndrome Planned cardiac surgery for heart failure Chronic kidney disease(Creatinene 2.5mg/dl or more) and maintenance dialysis Malignancy Pregnancy or possible pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. The differences in NT-proBNP 2. The differences in Minnesota Living With Heart Failure Questionnaire | — |
Secondary
| Measure | Time frame |
|---|---|
| The differences in the following parameters during 6 months of closed loop stimulation 1.6-minute walking distance 2.variation in heart rate 3.New York Heart Association classification 4.cardiothoracic ratio 5.parameters in echocardiography 6.rehospitalization rate for acute exacerbation of heart failure, time to rehospitalization, all cause death, all cause rehospitalizatoin 7.kidney function including serum creatinine, eGFR, BUN 8.incidence of atrial fibrillation and its burden 9.percentage of atrial and ventricular pacing | — |
Countries
Japan
Contacts
Nippon Medical School Musashi-Kosugi Hospital Department of Cardiology