Ventricular-Vascular Coupling in Heart Failure

NCT ID: NCT00207220

Last Updated: 2007-11-09

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

53 participants

Study Classification

OBSERVATIONAL

Study Start Date

2004-01-31

Study Completion Date

2007-01-31

Brief Summary

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This study will test the hypothesis that increases in ventricular-vascular stiffness can be demonstrated by arterial tonometry and echocardiography in subjects with heart failure with preserved ejection fraction (HF-nlEF)(i.e. normal left ventricular function.) We will also track changes in pulsatile hemodynamics over time in subjects hospitalized with HF-nlEF.

Detailed Description

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The pathophysiologic mechanisms responsible for the development of heart failure in people with preserved ejection fraction (i.e. normal left ventricular function) remain poorly understood. One possible mechanism may be the contribution of increased arterial stiffness to changes in pulsatile hemodynamic load during ventricular systole, implicating abnormal ventricular-vascular interactions throughout the cardiac cycle in the pathogenesis of heart failure with normal ejection fraction.

To investigate changes in ventricular-vascular stiffness in subjects with heart failure and normal left ventricular function, comparisons will be made between 3 distinct sub-populations:

* subjects with heart failure and normal ejection fraction
* non-diabetic hypertensive controls
* normotensive controls

Conditions

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Heart Failure With Preserved Ejection Fraction

Keywords

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heart failure preserved ejection fraction vascular stiffness

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Study Groups

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3

subjects with heart failure and normal ejection fraction non-diabetic hypertensive controls hypertensive diabetic controls normotensive controls

arterial tonometry

Intervention Type PROCEDURE

used to determine peripheral arterial vascular tone by measuring blood pressure waveforms via a probe attached to the finger.

echocardiography

Intervention Type PROCEDURE

ultrasound test using sound waves to create a moving picture of the heart

Interventions

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arterial tonometry

used to determine peripheral arterial vascular tone by measuring blood pressure waveforms via a probe attached to the finger.

Intervention Type PROCEDURE

echocardiography

ultrasound test using sound waves to create a moving picture of the heart

Intervention Type PROCEDURE

Other Intervention Names

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PAT cardiac echo

Eligibility Criteria

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Inclusion Criteria

Subjects with heart failure and preserved ejection fraction

* clinical signs of heart failure
* serum brain natriuretic peptide (BNP) \>100pg/mL
* NYHA functional class II-IV
* left ventricular ejection fraction(LVEF) \>=50% measured by echocardiography
* Non-diabetic subjects with hypertension
* treated or untreated essential hypertension
* LVEF \>=50% measured by echocardiography

Diabetic subjects with hypertension

* Type 2 diabetes
* treated or untreated essential hypertension
* LVEF \>=50% measured by echocardiography

Normotensive control subjects

* normal blood pressure (i.e. \< 140/90 mmHg)
* LVEF \>=50% measured by echocardiography

Exclusion Criteria

Subjects with heart failure and preserved ejection fraction

* atrial fibrillation
* symptoms of angina or a myocardial infarction (MI) within 6 months
* known significant coronary artery disease (CAD) (stenosis \> 70%)
* significant valvular heart disease
* restrictive/constrictive heart disease
* inability to lie flat for procedure (estimated duration 1 hour)

Non-diabetic subjects with hypertension

* atrial fibrillation
* symptoms of angina or a myocardial infarction (MI) within 6 months
* known significant coronary artery disease (CAD) (stenosis \> 70%)
* significant valvular heart disease
* restrictive/constrictive heart disease
* inability to lie flat for procedure (estimated duration 1 hour)
* prior history of heart failure or unexplained dyspnea

Diabetic subjects with hypertension

* atrial fibrillation
* symptoms of angina or a myocardial infarction (MI) within 6 months
* known significant coronary artery disease (CAD) (stenosis \> 70%)
* significant valvular heart disease
* restrictive/constrictive heart disease
* inability to lie flat for procedure (estimated duration 1 hour)
* prior history of heart failure or unexplained dyspnea

Normotensive control subjects

* prior history of structural heart disease or ventricular hypertrophy
* treatment with HMG-Co(A)reductase inhibitors (statins)
* anti-hypertensive medications
* cigarette smoking
* cocaine use
* excessive alcohol intake
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Brigham and Women's Hospital

OTHER

Sponsor Role lead

Principal Investigators

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Mark Creager, M.D.

Role: PRINCIPAL_INVESTIGATOR

Brigham and Women's Hospital

Akshay S. Desai, M.D.

Role: STUDY_DIRECTOR

Brigham and Women's Hospital

Locations

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Brigham & Women's Hospital

Boston, Massachusetts, United States

Site Status

Countries

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United States

Other Identifiers

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2003P-001769

Identifier Type: -

Identifier Source: org_study_id