Heart Failure
Conditions
Keywords
Heart failure with normal ejection fraction, hemodialysis patients, ivabradine, Echocardiography, NYHA class, 6-minutes walking test
Brief summary
Heart failure with normal ejection fraction is often under diagnosed and certainly under treated in hemodialyzed patients. Because of the benefit of reducing heart rate, ivabradine, a pure heart-rate lowering agent without effects on blood pressure, is of potential therapeutic utility.
Interventions
ivabradine titrated to 7.5 mg BID
Sponsors
Study design
Eligibility
Inclusion criteria
* hemodialyzed patients * signs and symptoms of heart failure with normal ejection fraction * sinus rhythm
Exclusion criteria
* atrial fibrillation/atrial flutter * valvular heart disease * unstable angina * hospitalization for heart failure prior 3 months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Echocardiofic changes of diastolic left ventricular function | baseline, 1, 3, 6, 9, 12 months | Measures of diastolic left ventricular function (E and A velocity and deceleration time of mitral inflow and Doppler-Tissue-Imaging E velocity and their ratio) were assessed at baseline and at each scheduled time. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| changes in NYHA class | baseline, 1,3,6,9,12 months | Measures of New York Heart Association functional class stratified I to IV at baseline and at each scheduled time. |
| changes in 6-minutes walking test | baseline, 1,3,6,9,12 months | American Thoracic Society At baseline and at each scheduled time a 6-minutes walking test were performed according ATS Statement. The following measures were analysed at starting and ending test: heart rate; blood pressure, dyspnea according the Borg scale, fatigue according the Borg scale, Spo2%;distance walked, symptoms. |
Countries
Italy