Heart Failure
Conditions
Brief summary
Enhanced external counterpulsation (EECP) is an outpatient coronary artery disease (CAD) therapy that involves the cyclical inflation/deflation of cuffs wrapped around the lower extremities. However, the possible benefits of EECP in patients with heart failure (HF) (New York Heart Association \[NYHA\] classes II to IV) and cardiomyopathy are unclear.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with heart failure (NYHA II-IV) 1. with optimal medical therapy 2. caused by ischemic or non-ischemic cardiomyopathy * EECP-Therapy and Treatment in the Cardio Centrum Berlin or Charité - University Medicine Berlin * Aged 18 to 100 years * Offered patient information and written informed consent
Exclusion criteria
* Participation in another interventional trial * Acute coronary syndrome \< 4 weeks prior to enrollment * Operation \< 4 weeks prior to enrollment * Stroke \< 4 weeks prior to enrollment * Clinically significant disease with hospitalization * Aortic valvular heart disease ≥ moderate * Aortic aneurysm * clinically relevant severe cardiopulmonal diseases * Resting RR \> 160/90mmHg * Thrombose, Thrombophlebitis \< 8 weeks prior to enrollment * Peripheral artery occlusive disease ≥ Stadium II * Acute Heart failure * Pathological bleeding tendency * Arrhythmias, which interfere with Triggering of the EECP * Other diseases, that inhibit EECP-Treatment (e.g. Spinal disc herniation) * Accommodation in an institution due to an official or judicial order * Women: pregnancy or lactation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Systolic and diastolic heart function | A period of 1 year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ergometric power increase | A period of 1 year | Ergometric power increase will be measured by individuals' performance in ergometric work load. Scale is Watt. |
| Subjective health Status - Mental Health Composite Score | A period of 1 year | Sf-12-questionnaire: value of the Mental Health Composite Score |
| Subjective health Status - Physical Health Composite Score | A period of 1 year | Sf-12-questionnaire: value of the Physical Health Composite Score |
| Organ complications | A period of 1 year | Relevant laboratory parameters |
Countries
Germany