Heart failure with preserved ejection fraction - Diastolic heart failure
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Participants of the HELPFul study with a baseline diagnosis of LVDD without clinical signs or symptoms of heart failure (stage B heart failure) - Participants consenting to be contacted for follow-up studies of the HELPFul study - Participants who are able to read and understand the Dutch language. - Participants who are willing and able to provide written informed consent for participation in this study. - Participants who agreed that results of the follow-up measurements are reported to the treating physician.
Exclusion criteria
Exclusion criteria: - Participants who received a heart transplantation or left ventricular assist device (LVAD) in the period between baseline and follow-up.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The deterioration of LVDD towards HFpEF (stage C/D heart failure), measured by (stress) cardiac ultrasonography assessing functional and structural parameters, combined with natriuretic peptide measurements and clinical evaluation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Paramaters that are collected for exploratory etiological hypothesis generation and further phenotyping of the heterogeneous population of patients with deteriorating diastolic function and HFpEF. Parameters include clinical factors, echocardiography paramaters (such as global longitudinal strain of the left ventricle and the left atrium calculated from standard echocardiography images) and biomarker parameters that can help to explain what individuals in stage B heart failure are at high risk of progression to stage C/D heart failure. Promising blood biomarkers (e.g. omics related to vascular dysfunction) will be measured again, and promising new biomarkers, e.g. BNP measurements after exercise will be added. To further elaborate the cardiorenal syndrome within our cohort urine biomarkers will be measured. | — |
Countries
Netherlands