Systemic right ventricle due to a congenitally or surgically corrected transposition of the great arteries.
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All adult patients with a systemic right ventricle due to a congenitally or surgically corrected transposition of the great arteries.
Exclusion criteria
Exclusion criteria: 1. Incapable of giving informed consent; 2. Hypersensitivity to valsartan or any of its help substances; 3. Known bilateral renal artery stenosis; 4. Current symptomatic hypotension; 5. Myocardial infarction, stroke or open-heart surgery in the previous four weeks; 6. Previous heart transplant, or expected heart transplant within the next six months; 7. Plasma creatinine level > 250 µmol/L; 8. Plasma potassium level > 5,5 mmol/L; 9. Pregnant or nursing women (a pregnancy test is offered to every female patient within the fertile age); 10. Desire to have children within the study period; 11. Current treatment of hypertension with Angiotensin II receptor blockers or ACE inhibitors.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The change in right ventricular ejection fraction, determined by Cardiovascular Magnetic Resonance (CMR) (valsartan vs. placebo). In patients who are not eligible for CMR the right ventricular ejection fraction is determined by echocardiography. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. changes congestive heart failure? 2. changes the prevalence of supra-ventricular arrhythmias? 3. changes in right ventricular function, determined by body surface mapping? 4. changes the right ventricular volume? 5. changes the peak oxygen consumption during exercise? 6. changes the serum neurohormone levels? 7. changes the quality of life and sport activity? 8. changes the cardiac output and microcirculation? 9. changes the number of deaths? | — |
Contacts
Academic Medical Centre (AMC) Department of cardiology Room F3 – 115