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| Name | Class |
|---|---|
| Conselho Nacional de Desenvolvimento CientÃfico e Tecnológico | OTHER_GOV |
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Previous studies have demonstrated a direct association between blood pressure level and cardiovascular risk. However in patients with heart failure this association is considered controversial. The aim of this study is to evaluate the effect of the reduction of blood pressure in patients with heart failure. The investigators will examine the effects of this intervention over mortality, quality of life, and cardiac function.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention | Experimental |
| |
| Control | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Hydralazine/amlodipine | Drug | Patients will receive drug therapy aimed to reducing blood pressure - first line drug will be hydralazine up to 100mg/day; if systolic blood pressure reduces less than 20% from baseline and remains over 100mmHg patients will further receive amlodipine up to 10mg/day |
| Measure | Description | Time Frame |
|---|---|---|
| Any cause mortality | 12 months after randomization | |
| Unplanned hospital admission from any cause | 12 months after randomization |
| Measure | Description | Time Frame |
|---|---|---|
| Cardiovascular death | 12 months after randomization | |
| Acute myocardial ischemia | 12 months after randomization | |
| Stroke |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Edimar A Bocchi, Prof. | Heart Institute (InCor) HC FMUSP | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Heart Institute (InCor) do Hospital das ClÃnicas da Faculdade de Medicina da Universidade de São Paulo | São Paulo | São Paulo | 05403000 | Brazil |
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| ID | Term |
|---|---|
| D006333 | Heart Failure |
| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D006830 | Hydralazine |
| D017311 | Amlodipine |
| ID | Term |
|---|---|
| D010793 | Phthalazines |
| D011724 | Pyridazines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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|
| Placebo | Drug | Patients will receive placebo |
|
| 12 months after randomization |
| Symptomatic hypotension | 12 months after randomization |
| Renal function | 12 months after randomization |
| Peak exercise oxygen consumption | 12 months after randomization |
| Quality of life | 12 months after randomization |
| D004095 |
| Dihydropyridines |
| D011725 | Pyridines |