Status:

RECRUITING

Metabolic Characterization of Patients With Dilated Cardiomyopathy

Lead Sponsor:

Göteborg University

Collaborating Sponsors:

Sahlgrenska University Hospital

Conditions:

DCM - Dilated Cardiomyopathy

Heart Failure

Eligibility:

All Genders

18+ years

Brief Summary

The overall aim of the study is to explore the energy metabolism of the failing heart. Primary objective is to understand the differences in the energy metabolism in patients with DCM and heart failu...

Detailed Description

Study Design: The MECHAD study is an explorative prospective cohort study with matched controls including patients with heart failure with reduced ejection fraction (HFrEF, EF≤40%) due to DCM in NYHA...

Eligibility Criteria

Inclusion

  • For cases (Heart Failure on the basis of DCM)
  • Signed and dated the Informed Consent Form
  • Male and female subjects ≥18 years of age
  • Chronic Heart failure (HF) with LVEF ≤40%
  • HF due to dilated cardiomyopathy (DCM)
  • New York Heart Association (NYHA) class ≥2
  • Treatment with basic optimal medical therapy.
  • Clinical indication for invasive evaluation of heart failure

Exclusion

  • Life expectancy \< 3 years due to other reasons than cardiovascular, cardiac transplantation or left ventricular assist device
  • Diabetes mellitus type 1 and 2
  • Known hereditary hypercholesterolemia
  • Ongoing lipid lowering therapy
  • Patients on ketogenic diets
  • BMI\>35 or \<19
  • Pregnancy
  • Any current life-threatening cardiac dysrhythmia, cardiac surgery, acute coronary syndrome, or non-elective percutaneous coronary intervention (PCI) \<3 months
  • Current significant major or unstable respiratory disease
  • Considerable hematological disease, hepatic disease, renal disease and/or gastrointestinal disease
  • Stroke, transient ischemic attack, carotid surgery or angioplasty \<3months
  • estimated glomerular filtration rate (eGFR) by Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI formula) \<30 mL/min/1.73m2 or patients on renal dialysis
  • Expected inability (by the investigator) to comply with the protocol
  • Subjects incapable to giving consent personally
  • For control subjects (no heart failure)
  • Inclusion criteria:
  • Signed and dated Informed Consent Form
  • Male and female subjects ≥18 years of age
  • Clinical indication for electrophysiology examination
  • Exclusion criteria:
  • Heart Failure (HFpEF, heart failure with mid-range ejection fraction (HFmrEF) or HFrEF)
  • Life expectancy \< 3 years due to other reasons than cardiovascular, cardiac transplantation or left ventricular assist device
  • Diabetes mellitus type 1 and 2
  • Known hereditary hypercholesterolemia
  • Ongoing lipid lowering therapy
  • Patients on ketogenic diets
  • BMI\>35 or \<19
  • Pregnancy
  • Any current life-threatening cardiac dysrhythmia, cardiac surgery, acute coronary syndrome, or non-elective PCI \<3 months
  • Current significant major or unstable respiratory disease
  • Considerable hematological disease, hepatic disease, renal disease and/or gastrointestinal disease
  • Stroke, transient ischemic attack, carotid surgery or angioplasty \<3months,
  • eGFR by Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI formula) \<30 mL/min/1.73m2 or patients on renal dialysis
  • Expected inability (by the investigator) to comply with the protocol
  • Subjects incapable to giving consent personally

Key Trial Info

Start Date :

March 1 2022

Trial Type :

OBSERVATIONAL

Allocation :

ESTIMATED

End Date :

January 1 2026

Estimated Enrollment :

90 Patients enrolled

Trial Details

Trial ID

NCT05284682

Start Date

March 1 2022

End Date

January 1 2026

Last Update

March 17 2022

Active Locations (1)

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Sahlgrenska University Hospital

Gothenburg, Western Sweden, Sweden, 41345