Heart Failure, Low T3 Syndrome
Conditions
Keywords
Heart failure, Liothyronine, Low T3 syndrome
Brief summary
Purpose: The purpose of the study is to examine if treatment with liothyronine increases left ventricular ejection fraction (LVEF) in patients with stable, chronic heart failure.
Detailed description
The patients are examined 3 times. At baseline, after 3 months and after 6 months.After the examination is performed, they begin the study medication while admitted at Dept. of Cardiology, Herlev Hospital, for cardiac monitoring.
Interventions
Liothyronine 40 microgram per day
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with stable, chronic systolic heart failure * T3 ≤1.4 nmol/l in two blood samples, TSH is to be normal * LVEF ≤ 45 % on prior echocardiography
Exclusion criteria
* Established thyroid illness * Atrial fibrillation/flutter * More than 20% ventricular extrasystoles * Severe chronic obstructive lung disorder * Pregnancy. Pregnancy testing will be done for fertile women * Age \< 18 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| left ventricle ejection fraction | 3 months | The effect of liothyronine treatment in low dose in 3 months on LVEF. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Quality of Life, questionaire | 3 months | The effect of 3 months low dose liothyronine treatment on quality of life, assessed by SF-36 and Minnesota Living with Heart Failure questionnaires in patients with heart failure. |
| YKL-40, YNF-alpha, hsCRP and IL-6 | 3 months | The effect of 3 months low dose liothyronine treatment on low grade inflammation assessed by measurement of pro-inflammatory markers in patients with heart failure. |
| Body composition | 3 months | The effect of 3 months low dose liothyronine treatment on body composition in patients with heart failure. |
| GDF 8, SHBG, CK and PINP | 3 months | The effect of 3 months low dose liothyronine treatment on the extrathyroidal thyroid effect in patients with heart failure. |
| NT-proBNP, EDV and ESV | 3 months | The effect of 3 months low dose liothyronine treatment on heart function in patients with heart failure. |
| RBP 4, HBA1C, adiponectin (high and low weight), glucose and HOMA-1 | 3 months | The effect of 3 months low dose liothyronine treatment on metabolic status in patients with heart failure. |
Countries
Denmark