About this trial
This is a prospective pilot study to evaluate changes before and 4 weeks after beta-blocker withdrawal in 30 HFpEF patients.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Stable HFpEF patients with NYHA Class II-III or elevated BNP ≥100
N=30 (Target: 30).
Age: 50 ~ 80 years.
ECHO evidence of EF ≥50% and Grade 2 or 3 diastolic dysfunction.
Disqualifiers
Beta blocker was prescribed for treating other cardiac conditions such as atrial fibrillation or coronary artery disease.
Heart rate > 100 bpm
Recent hospitalization due to HF within 3 months
Non-English speaker
Trial design
Single group
Treatments tested in this trial
beta blocker discontinuation
Other interventionbeta blocker discontinuation
Treatment groups
Trial outcomes
Primary outcomes
Changes in KCCQ-23 score
Kansa city cardiomyopathy questionnaire (KCCQ-23)- self-administered, 23-item. questionnaire that quantifies physical limitations, symptoms, self-efficacy, social interference and quality of life. Scores are transformed to a range of 0-100, where higher scores reflect better health status.
Secondary outcomes
Changes in cardiac mechanics by echocardiography
Echocardiographic E/e' ratio
Changes in biomarker
changes from baseline in BNP level (pg/mL) after 4 weeks of beta blocker discontinuation
6 minute walk test
The distance (meters) covered over a time of 6 minutes. A greater distance indicates a better exercise capacity.
Sponsors and contacts
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