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In patients with chronic heart failure ACE-inhibitor treatment improves lung diffusion and prevents pulmonary edema after fluid overload. In the western country, 3 population types of ACE genotypes exist (DD, ID, II). It is unknown whether the ACE genotype influences the response to fluid overload in ACE-inhibitor treated chronic heart failure patients.
Patients with chronic heart failure in stable clinical condition treated with ACE-inhibitors, but not aspirin, will be evaluated by means of maximal cardiopulmonary exercise test and lung function including lung diffusion measurements. These tests will be done before and after rapid 500 ml isotonic saline infusion. Patients will be grouped according to their ACE genotype.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CMPD patients | Experimental | Patients with CMPD with evaluation of ACE I/D polymorphism |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| isotonic saline infusion | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Possible identification of a genetic pattern responsible for different responses to ACE-inhibition during fluid overload in heart failure | Third day |
| Measure | Description | Time Frame |
|---|---|---|
| Influence of ACE-genotype on exercise capacity | Third day | |
| Influence of ACE-genotype on lung function | Third day |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Piergiuseppe Agostoni, MD.PhD | Centro Cardiologico Monzino | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centro Cardiologico Monzino | Milan | 20138 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 14581402 | Background | Agostoni P, Cattadori G, Bianchi M, Wasserman K. Exercise-induced pulmonary edema in heart failure. Circulation. 2003 Nov 25;108(21):2666-71. doi: 10.1161/01.CIR.0000097115.61309.59. Epub 2003 Oct 27. | |
| 9107182 | Background | Guazzi M, Marenzi G, Alimento M, Contini M, Agostoni P. Improvement of alveolar-capillary membrane diffusing capacity with enalapril in chronic heart failure and counteracting effect of aspirin. Circulation. 1997 Apr 1;95(7):1930-6. doi: 10.1161/01.cir.95.7.1930. |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| D011654 | Pulmonary Edema |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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