Chronic Heart Failure, Sympathetic Innervation
Conditions
Brief summary
The purpose of this study is to assess whether baseline sympathetic innervation in patients with chronic heart failure (CHF) is predictive for response to cardiac resynchronization therapy (CRT). And to assess whether response to CRT coincides with restoration of regional sympathetic innervation.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Indication for CRT * Stable optimal medication * Non ischemic cardiomyopathy
Exclusion criteria
* Age less then 18 years * Previous CRT * Clinically relevant valvular heart disease or coronary artery disease * Acute or chronic infection * Untreated clinical hypo- or hyperthyroidism or \< 3 months euthyroidism * Uncontrolled hypertension, defined as a systolic blood pressure \> 160 mm Hg and/or a diastolic blood pressure \> 95 mm Hg * A concurrent medical condition (i.e. alcohol or drug abuse or a severe progressive extra cardiac disease or M. Parkinson) or is unlikely to comply with the protocol * Participation to a previous protocol involving radioactivity in the past year * Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| sympathetic innervation in patients with chronic heart failure (CHF) | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| NYHA class Echocardiographic parameters: LVEDD, LVESD, LVEF, LVESV,IVMD, and septal to lateral delay Hospitalization for heart failure Maximal oxygen consumption NT pro-BNP changes | 6 months |
Countries
Netherlands