Effects of Cardiac Sympathetic Blockade in Patients With Chronic Heart Failure
NCT02282618 · Status: UNKNOWN · Type: OBSERVATIONAL · Enrollment: 180
Last updated 2014-11-04
Summary
Although current pharmaceutical therapies have improved the survival rate in heart failure it remains a fatal disease and is associated with a poor 3-year survival. Increased sympathetic activity found in patients with heart failure plays an important role in the pathogenesis and development of the disease\[Provide reference\]. Excessive activation of sympathetic tone contributes to arrhythmogenesis, increased cardiac wall tension, and platelet aggregation, promoting a "vicious cycle\[What cycle? Elaborate. \]" in these patients.
High thoracic epidural anesthesia (HTEA) can reversibly and regionally block the cardiac sympathetic nervous system. The method was pioneered by Prof. Liu Fengqi in 1995, and he has accumulated clinical experiences from thousands of cases. His anecdotal experience indicates that the method can favorably improve intractable angina, dilated cardiomyopathy, and advanced heart failure. Though the method has been used to treat patients at our center for many years, there has been no prospective trial of its effects on cardiovascular function, or its efficacy to improve clinical outcomes.
The investigators propose to investigate the immediate physiologic effect and clinical effectiveness of HTEA in treating heart failure.
Conditions
Interventions
- DEVICE
-
Cardiac Sympathetic Blockade
Sponsors & Collaborators
-
Harbin Medical University
lead OTHER
Eligibility
- Min Age
- 17 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2013-05-31
- Primary Completion
- 2015-05-31
Countries
- China
Study Locations
More Related Trials
-
Targeting Sympathetic Overactivity in Heart Failure Patients With Statins
NCT01097785 ·Status: COMPLETED ·Phase: NA
-
The Link Between the Clinical Resting Heart Rate and Sympathetic Overactivation
NCT02315313 ·Status: UNKNOWN
-
Effect of NT-proBNP Guided Treatment of Chronic Heart Failure
NCT00149422 ·Status: COMPLETED ·Phase: NA
-
Mechanisms of Refractory Hypertension (Reserpine)
NCT03223272 ·Status: COMPLETED ·Phase: PHASE2
-
The Effect of Metoprolol in Patients With Hypertrophic Obstructive Cardiomyopathy.
NCT03532802 ·Status: COMPLETED ·Phase: PHASE2
-
Sympathetic and Vascular Function in Takotsubo Syndrome
NCT05768542 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Vascular Sensitivity to Adrenergic Agonists in Patients With CHF and in Healthy Subjects
NCT00782782 ·Status: UNKNOWN
-
Sympathetic Nervous System Modulation in Hypertension
NCT00491387 ·Status: TERMINATED ·Phase: PHASE4
-
Transplanted-like Heart in Critical Ill Patients
NCT01930669 ·Status: COMPLETED ·Phase: NA
-
A Phase Ⅲ Study of Extended-Release Carvedilol Sulfate for the Treatment of Heart Failure
NCT02012075 ·Status: UNKNOWN ·Phase: PHASE3
-
Pulse Reduction On Beta-blocker and Ivabradine Therapy
NCT02973594 ·Status: COMPLETED ·Phase: PHASE4
-
Pharmacodynamic Study of Carvedilol Versus Metoprolol in Heart Failure
NCT00802230 ·Status: COMPLETED ·Phase: PHASE4
-
The Adherence to Oral Anticoagulant in Chinese Patients With NVAF
NCT04942873 ·Status: UNKNOWN
-
Renal Sympathetic Modification in Patients With Metabolic Syndrome
NCT01417247 ·Status: UNKNOWN ·Phase: NA
-
Effect of Nebulized Bronchodilators on Heart Rate
NCT01151579 ·Status: COMPLETED ·Phase: PHASE4
-
Indacaterol in Heart Failure Patients: Any Role on Lung Fluid Regulation
NCT02598505 ·Status: COMPLETED ·Phase: PHASE3
-
Autonomic Determinants of POTS - Pilot 2
NCT04140721 ·Status: ACTIVE_NOT_RECRUITING ·Phase: EARLY_PHASE1
-
Safety Study to Lower the Risk of Heart Failure is Also Effective in Reducing Stiffness of the Arteries
NCT00829296 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
The Contemporary Role of Beta Blockers in Patients With Acute Myocardial Infarction
NCT04564365 ·Status: UNKNOWN
-
A Study of Continuous Heart Rate Monitoring in Healthy Participants
NCT04682184 ·Status: COMPLETED ·Phase: NA
-
The Prognostic Role of Indices of Sympathetic Nervous System Overdrive in MINOCA
NCT04681612 ·Status: UNKNOWN
-
The Efficacy and Safety of Beta-blockers Drugs in Adults With Spinal Hemangioma
NCT05106179 ·Status: UNKNOWN ·Phase: PHASE4
-
Sympathetic Mechanisms in Obesity-Crossover Design
NCT05312892 ·Status: RECRUITING ·Phase: PHASE1/PHASE2
-
Use of Beta Blockers in Elderly Trauma Patients
NCT00302692 ·Status: UNKNOWN ·Phase: PHASE2
-
Chemical Block and Electrical Stimulation of the Carotid Body to Treat Refractory Hypertension
NCT02519868 ·Status: WITHDRAWN ·Phase: NA