Use of SGLT2i in noHCM With HFpEF

Sodium-dependent Glucose Transporters 2 Inhibitor in Nonobstructive Hypertrophic Cardiomyoapthy Patients With Heart Failure With Preserved Ejection Fraction: a Prospective, Multi-center,Open-lable,Randomized Controlled Trial

This study aims to evaluate the impact of Sodium-dependent glucose transporters 2 inhibitor Empagliflozin on the exercise capacity,symptoms of heart failure, cardiac function, myocardial remodeling and quality of life of nonobstructive HCM patients with HFpEF.

Inclusion Criteria:

• Patients with a diagnosis of nonobstructive hypertrophic cardiomyopathy;
• At least 18 years old;
• LVEF≥50%
• Elevated NT-proBNP >300 pg/ml for patients without atrial fibrillation (AF), or >900 pg/ml for patients with AF at Visit 1;
• NYHA II-IV
• Capable of performing cardiopulmonary exercise test with an RER≥1.0
• Signed and dated written informed consent and willing to return for clinical follow-up.

Exclusion Criteria:

• Under-went septal reduction therapy within 3 months before screening;
• Acute decompensation heart failure within 3 months before screening;
• Symptomatic low BP or SBP<100mmHg;
• eGFR<30ml/min/1.73m2
• LVOTG ≥30mmHg at rest or under provocation;
• Renal insufficiency with eGFR<50mL/min/1.73m2
• ICD implantation or CRT planned within 3 months;
• Women who are pregnant, or who plan to become pregnant while in the trial;
• Currently enrolled in another investigational device or drug trial;
• Combining any other clinical condition with a life expectancy less than 1 year.