Cardiac Heart Failure Patients
Conditions
Keywords
CHF, Canrenone
Brief summary
To evaluate canrenone effects compared to other therapies on cardiovascular mortality in patients with congestive heart failure and preserved systolic function after 12 years of evaluation.
Detailed description
The investigators will verify patients with cardiac heart failure (CHF) and preserved systolic function and each patient must have all clinical evaluation through basal measurements of blood pressure, heart rate, biochemical tests, and color Doppler echocardiographic parameters for at least 12 years. The investigators will evaluate the effects of an aldosterone antagonist as canrenone compared to a group without canrenone and the investogators will verify how many patients reported cardiovascular mortality or will survive.
Interventions
Evaluation of canrenone therapy in patients with CHF
Sponsors
Study design
Eligibility
Inclusion criteria
* patients with CHF * preserved systolic function (FE ≥ 45%)
Exclusion criteria
* severe hypertension identified by blood pressure ≥180/110 mmHg * patients with impaired systolic function (FE \< 45%) * history of active hepatitis or cirrhosis * impaired renal function * hyperpotassemia * diabetes
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Progression of CHF | 12 years | Echocardiografic data |
| Haemodynamic data | 12 years | Systolic blood pressure (SBP, Diastolic blood pressure (DBP), Heart rate (HR) |
| Metabolic data | 12 years | fasting plasma glucose (FPG), total cholesterol (TC), HDL-cholesterol (HDL-C), triglycerides (Tg), LDL-cholesterol (LDL-C), lipoprotein (a) \[Lp(a)\], |
| Renal function | 12 years | Sodium, Potassium, Creatinine, Uric acid |
| Endocrine data | 12 years | Aldosterone, Plasma brain natriuretic peptide (BNP), Plasma renin activity (PRA) |
| Cardiovascular mortality | 12 years | Register data |
| Survival | 12 years | Register data |
Countries
Italy